Provider Demographics
NPI:1437575867
Name:HOWTON SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:HOWTON SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWTON
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:240-305-7585
Mailing Address - Street 1:1802 N DIVISION ST
Mailing Address - Street 2:#109
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-1182
Mailing Address - Country:US
Mailing Address - Phone:815-513-3654
Mailing Address - Fax:815-513-3655
Practice Address - Street 1:1802 N DIVISION ST
Practice Address - Street 2:#109
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1182
Practice Address - Country:US
Practice Address - Phone:815-513-3654
Practice Address - Fax:815-513-3655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty