Provider Demographics
NPI:1205096922
Name:FAITHFUL RIGHT HAND SURGICAL ASSISTANTS PLLC
Entity type:Organization
Organization Name:FAITHFUL RIGHT HAND SURGICAL ASSISTANTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:FRISK-COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-569-4918
Mailing Address - Street 1:1206 RUNNING BEAR TRL
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-3614
Mailing Address - Country:US
Mailing Address - Phone:713-569-4918
Mailing Address - Fax:281-324-3165
Practice Address - Street 1:1206 RUNNING BEAR TRL
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-3614
Practice Address - Country:US
Practice Address - Phone:713-569-4918
Practice Address - Fax:281-324-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX516735163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0091RLOtherBCBS
TX331045745OtherTRICARE
TX516735OtherRN LICENCE#