Provider Demographics
NPI:1396319133
Name:CENTRAL TEXAS FIRST ASSIST
Entity type:Organization
Organization Name:CENTRAL TEXAS FIRST ASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASHINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:254-722-6196
Mailing Address - Street 1:8233 MOSSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-2407
Mailing Address - Country:US
Mailing Address - Phone:254-722-6196
Mailing Address - Fax:
Practice Address - Street 1:8233 MOSSWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-2407
Practice Address - Country:US
Practice Address - Phone:254-722-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty