Provider Demographics
NPI:1518539592
Name:A STITCH IN TIME SURGICAL ASSISTING LLC
Entity Type:Organization
Organization Name:A STITCH IN TIME SURGICAL ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:918-443-0861
Mailing Address - Street 1:1611 S UTICA AVE # 191
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4909
Mailing Address - Country:US
Mailing Address - Phone:918-443-0861
Mailing Address - Fax:
Practice Address - Street 1:2826 E 90TH ST UNIT 1601
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-3343
Practice Address - Country:US
Practice Address - Phone:918-855-9495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-11
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty