Provider Demographics
NPI:1255890307
Name:TREX ASSISTING SERVICES INCORPORATED
Entity type:Organization
Organization Name:TREX ASSISTING SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-705-7953
Mailing Address - Street 1:14826 BEECHMOOR DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3304
Mailing Address - Country:US
Mailing Address - Phone:713-705-7953
Mailing Address - Fax:
Practice Address - Street 1:14826 BEECHMOOR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3304
Practice Address - Country:US
Practice Address - Phone:713-705-7953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA00720OtherLICENSED SURGICAL ASSISTANT