Provider Demographics
NPI:1518105600
Name:TEXAS FIRST SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:TEXAS FIRST SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:SA-C, LSA
Authorized Official - Phone:281-419-1857
Mailing Address - Street 1:4747 RESEARCH FOREST DR
Mailing Address - Street 2:SUITE 180-223
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:281-419-1857
Mailing Address - Fax:
Practice Address - Street 1:26 E LOFTWOOD CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1496
Practice Address - Country:US
Practice Address - Phone:281-419-1857
Practice Address - Fax:281-419-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2013-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00326246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty