Provider Demographics
NPI:1619526563
Name:UMA SURGICAL ASSISTANT SERVICES, LLC.
Entity Type:Organization
Organization Name:UMA SURGICAL ASSISTANT SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SURGICAL ASSISTANT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:XUAN
Authorized Official - Middle Name:SUSIE
Authorized Official - Last Name:FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-806-1930
Mailing Address - Street 1:PO BOX 20344
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0344
Mailing Address - Country:US
Mailing Address - Phone:713-806-1930
Mailing Address - Fax:
Practice Address - Street 1:13605 SUMMER CLOUD LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2164
Practice Address - Country:US
Practice Address - Phone:713-806-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UMA SURGICAL ASSISTANT SERVICES, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-04
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty