Provider Demographics
NPI:1891467502
Name:AMG SAS LLC
Entity Type:Organization
Organization Name:AMG SAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARTINEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:SA-C
Authorized Official - Phone:936-718-5094
Mailing Address - Street 1:19 CLEARVIEW TERRACE PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1541
Mailing Address - Country:US
Mailing Address - Phone:936-718-5094
Mailing Address - Fax:
Practice Address - Street 1:19 CLEARVIEW TERRACE PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77375-1541
Practice Address - Country:US
Practice Address - Phone:936-718-5094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty