Provider Demographics
NPI:1457775629
Name:SURGICAL ASSISTANT ONE
Entity Type:Organization
Organization Name:SURGICAL ASSISTANT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:CSA, LSA
Authorized Official - Phone:713-705-6840
Mailing Address - Street 1:9844 CYPRESSWOOD DR
Mailing Address - Street 2:1806
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3864
Mailing Address - Country:US
Mailing Address - Phone:713-705-7178
Mailing Address - Fax:
Practice Address - Street 1:9844 CYPRESSWOOD DR
Practice Address - Street 2:1806
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3864
Practice Address - Country:US
Practice Address - Phone:713-705-7178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-09
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2667174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty