Provider Demographics
NPI:1457536906
Name:SOUTH TEXAS SURGICAL ASSISTANTS, INC.
Entity Type:Organization
Organization Name:SOUTH TEXAS SURGICAL ASSISTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:RNFA
Authorized Official - Phone:361-887-0510
Mailing Address - Street 1:PO BOX 6275
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6275
Mailing Address - Country:US
Mailing Address - Phone:361-887-0510
Mailing Address - Fax:
Practice Address - Street 1:321 TEXAN TRL
Practice Address - Street 2:SUITE 240
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1825
Practice Address - Country:US
Practice Address - Phone:361-887-0510
Practice Address - Fax:361-887-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX681934174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty