Provider Demographics
NPI:1821759192
Name:EXCELL SURGICAL ASSISTANTS MANAGEMENT PLLC
Entity Type:Organization
Organization Name:EXCELL SURGICAL ASSISTANTS MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-463-6309
Mailing Address - Street 1:2209 S BRAESWOOD BLVD APT 32J
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4379
Mailing Address - Country:US
Mailing Address - Phone:281-463-6309
Mailing Address - Fax:281-463-6835
Practice Address - Street 1:2209 S BRAESWOOD BLVD APT 32J
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4379
Practice Address - Country:US
Practice Address - Phone:281-463-6309
Practice Address - Fax:281-463-6835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty