Provider Demographics
NPI:1568798577
Name:SURGICAL AFTERCARE, PLLC
Entity Type:Organization
Organization Name:SURGICAL AFTERCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:ROZELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-245-8560
Mailing Address - Street 1:14122 WHITE OAK GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3933
Mailing Address - Country:US
Mailing Address - Phone:281-794-8222
Mailing Address - Fax:281-416-5521
Practice Address - Street 1:14122 WHITE OAK GARDENS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3933
Practice Address - Country:US
Practice Address - Phone:281-794-8222
Practice Address - Fax:281-416-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13185763251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health