Provider Demographics
NPI:1881847317
Name:EXCELL SURGICAL ASSISTANTS MANAGAMENT INC.
Entity Type:Organization
Organization Name:EXCELL SURGICAL ASSISTANTS MANAGAMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LSA, SA-C
Authorized Official - Phone:281-661-8253
Mailing Address - Street 1:22903 EMILY TRACE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4458
Mailing Address - Country:US
Mailing Address - Phone:281-661-8253
Mailing Address - Fax:281-569-4191
Practice Address - Street 1:22903 EMILY TRACE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4458
Practice Address - Country:US
Practice Address - Phone:281-661-8253
Practice Address - Fax:281-569-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty