Provider Demographics
NPI:1295026060
Name:PRECISION ASSISTANCE OF SURGERY
Entity type:Organization
Organization Name:PRECISION ASSISTANCE OF SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:STALEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSFA
Authorized Official - Phone:210-254-7993
Mailing Address - Street 1:PO BOX 591328
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0116
Mailing Address - Country:US
Mailing Address - Phone:210-254-7993
Mailing Address - Fax:
Practice Address - Street 1:1234 SONESTA LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-2462
Practice Address - Country:US
Practice Address - Phone:210-254-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital