Provider Demographics
NPI:1538515325
Name:APEX SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:APEX SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:YARRITO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LSA
Authorized Official - Phone:936-760-6591
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-0294
Mailing Address - Country:US
Mailing Address - Phone:936-760-6591
Mailing Address - Fax:936-582-6013
Practice Address - Street 1:17450 ST LUKES WAY
Practice Address - Street 2:STE 400
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:936-760-6591
Practice Address - Fax:936-582-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty