Provider Demographics
NPI:1780849786
Name:SURGICAL ASSISTANTS OF AUSTIN
Entity Type:Organization
Organization Name:SURGICAL ASSISTANTS OF AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:BATIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LIC SURGICAL ASSIST
Authorized Official - Phone:512-215-4945
Mailing Address - Street 1:3005 S LAMAR BLVD # D-109302
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8864
Mailing Address - Country:US
Mailing Address - Phone:512-215-4945
Mailing Address - Fax:
Practice Address - Street 1:3005 S LAMAR BLVD # D-109302
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8864
Practice Address - Country:US
Practice Address - Phone:512-215-4945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-20
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00057246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty