Provider Demographics
NPI:1184703902
Name:HOUSTON SURGICAL ASSISTANT SERVICES
Entity type:Organization
Organization Name:HOUSTON SURGICAL ASSISTANT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:BARILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD,LSA
Authorized Official - Phone:832-237-5656
Mailing Address - Street 1:PO BOX 691789
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1789
Mailing Address - Country:US
Mailing Address - Phone:832-237-5656
Mailing Address - Fax:832-237-5655
Practice Address - Street 1:8203 WILLOW PLACE DR S
Practice Address - Street 2:SUITE 419
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5655
Practice Address - Country:US
Practice Address - Phone:832-237-5656
Practice Address - Fax:832-237-5655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSTON SURGICAL ASSISTANT SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-03
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty