Provider Demographics
NPI:1841413663
Name:SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES, INC.
Entity Type:Organization
Organization Name:SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES, INC.
Other - Org Name:DBA SURGASSIS ALPHA SURGICAL ASSISTANT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:BELLEZA
Authorized Official - Last Name:PARLADE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LSA
Authorized Official - Phone:281-620-5274
Mailing Address - Street 1:P.O. BOX 820568
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77282
Mailing Address - Country:US
Mailing Address - Phone:281-620-5274
Mailing Address - Fax:
Practice Address - Street 1:7100 ALMEDA ROAD
Practice Address - Street 2:#2127
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-799-2558
Practice Address - Fax:713-799-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00137363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty