Provider Demographics
NPI:1366847063
Name:SURGICAL CONNECTIONS LLC
Entity Type:Organization
Organization Name:SURGICAL CONNECTIONS LLC
Other - Org Name:SURGICAL CONNECTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:713-269-5817
Mailing Address - Street 1:602 BAYOU VISTA DR
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536
Mailing Address - Country:US
Mailing Address - Phone:713-269-5817
Mailing Address - Fax:281-478-6187
Practice Address - Street 1:602 BAYOU VISTA DR
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-5983
Practice Address - Country:US
Practice Address - Phone:713-269-5817
Practice Address - Fax:281-478-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty