Provider Demographics
NPI:1598167009
Name:BEST SURGICAL SERVICES
Entity Type:Organization
Organization Name:BEST SURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSA
Authorized Official - Prefix:
Authorized Official - First Name:NORBE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASULTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:768-556-8818
Mailing Address - Street 1:23501 CINCO RANCH BLVD
Mailing Address - Street 2:H120
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3095
Mailing Address - Country:US
Mailing Address - Phone:786-556-8819
Mailing Address - Fax:281-396-4688
Practice Address - Street 1:23501 CINCO RANCH BLVD
Practice Address - Street 2:H120
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3095
Practice Address - Country:US
Practice Address - Phone:786-556-8819
Practice Address - Fax:281-396-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00474363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherWORKSCOMP,UNITE,CIGNA,BCBS,AETNA
TX=========OtherWORKERSCOMP, UNITE, CIGNA, BCBS,AETNA