Provider Demographics
NPI:1578805594
Name:STEELE SURGICAL ASSISTANTS, LLC
Entity Type:Organization
Organization Name:STEELE SURGICAL ASSISTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:832-277-8607
Mailing Address - Street 1:5556 NEW TERRITORY BLVD APT 9107B
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6555
Mailing Address - Country:US
Mailing Address - Phone:832-277-8607
Mailing Address - Fax:
Practice Address - Street 1:5556 NEW TERRITORY BLVD APT 9107B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6555
Practice Address - Country:US
Practice Address - Phone:832-277-8607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3652246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty