Provider Demographics
NPI:1619596509
Name:IRC SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:IRC SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:210-315-8777
Mailing Address - Street 1:326 TOPEKA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-4062
Mailing Address - Country:US
Mailing Address - Phone:210-315-8777
Mailing Address - Fax:210-257-0700
Practice Address - Street 1:326 TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-4062
Practice Address - Country:US
Practice Address - Phone:210-315-8777
Practice Address - Fax:210-257-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty