Provider Demographics
NPI:1326570334
Name:SURGEONS ASSISTANT RITA YAMEL DAVID INC
Entity Type:Organization
Organization Name:SURGEONS ASSISTANT RITA YAMEL DAVID INC
Other - Org Name:SURGEONS ASSISTANT RITA YAMEL DAVID
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INITIAL REGISTERED AGENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:832-693-8688
Mailing Address - Street 1:PO BOX 130262
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0262
Mailing Address - Country:US
Mailing Address - Phone:832-693-8688
Mailing Address - Fax:
Practice Address - Street 1:3720 COLLEGE PARK DR # 6304
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:832-693-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4526246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1134582786OtherNPI FOR DBA SURGEONS ASSISTANT RITA YAMEL DAVID
TX1316397284OtherNPI FOR DBA SURGEONS ASSISTANT RITA YAMEL DAVID