Provider Demographics
NPI:1790317949
Name:PRECISION SURGERY PARTNERS,LLC
Entity Type:Organization
Organization Name:PRECISION SURGERY PARTNERS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:
Authorized Official - Credentials:OPA-C,LSA
Authorized Official - Phone:210-789-1267
Mailing Address - Street 1:11230 FM 1560 N LOT 3
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4288
Mailing Address - Country:US
Mailing Address - Phone:210-789-1267
Mailing Address - Fax:
Practice Address - Street 1:10650 CULEBRA RD STE 104-280
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4949
Practice Address - Country:US
Practice Address - Phone:210-789-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty