Provider Demographics
NPI:1518495142
Name:CAPITAL SURGICAL ASSISTING, LLC
Entity Type:Organization
Organization Name:CAPITAL SURGICAL ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CNOR RNFA
Authorized Official - Phone:512-563-3780
Mailing Address - Street 1:500 E WHITESTONE BLVD UNIT 1057
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78630-4344
Mailing Address - Country:US
Mailing Address - Phone:512-271-9723
Mailing Address - Fax:512-222-6141
Practice Address - Street 1:500 E WHITESTONE BLVD UNIT 1057
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78630-4344
Practice Address - Country:US
Practice Address - Phone:512-271-9723
Practice Address - Fax:512-222-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX750529163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX750529OtherRN LICENSE