Provider Demographics
NPI:1851567994
Name:GREATER AUSTIN SURGICAL ASSISTANTS, P.C.
Entity Type:Organization
Organization Name:GREATER AUSTIN SURGICAL ASSISTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DELFINO
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LSA
Authorized Official - Phone:512-381-4272
Mailing Address - Street 1:201 S LAKELINE BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2735
Mailing Address - Country:US
Mailing Address - Phone:512-381-4272
Mailing Address - Fax:512-381-4275
Practice Address - Street 1:201 S LAKELINE BLVD STE 405
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2735
Practice Address - Country:US
Practice Address - Phone:512-381-4272
Practice Address - Fax:512-381-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00016246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty