Provider Demographics
NPI:1851645881
Name:ULTRA PRECISION SURGICAL ASSISTING L.L.C.
Entity Type:Organization
Organization Name:ULTRA PRECISION SURGICAL ASSISTING L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL ASSISTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-567-6180
Mailing Address - Street 1:134 VINTAGE PARK BLVD
Mailing Address - Street 2:STE-A #137
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3998
Mailing Address - Country:US
Mailing Address - Phone:832-567-6180
Mailing Address - Fax:
Practice Address - Street 1:134 VINTAGE PARK BLVD
Practice Address - Street 2:STE-A #137
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3998
Practice Address - Country:US
Practice Address - Phone:832-567-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty