Provider Demographics
NPI:1922454503
Name:ADM SURGICAL ASSISTING
Entity Type:Organization
Organization Name:ADM SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAKSYMOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OPA, LSA
Authorized Official - Phone:281-684-8317
Mailing Address - Street 1:2910 SEA CHANNEL DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-1640
Mailing Address - Country:US
Mailing Address - Phone:281-684-8317
Mailing Address - Fax:281-715-5350
Practice Address - Street 1:15255 GULF FWY
Practice Address - Street 2:SUITE 103E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5365
Practice Address - Country:US
Practice Address - Phone:281-684-8317
Practice Address - Fax:281-715-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies