Provider Demographics
NPI:1649676677
Name:MDS FIRST ASSISTANTS, LLC
Entity type:Organization
Organization Name:MDS FIRST ASSISTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:DELOS SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:713-303-5585
Mailing Address - Street 1:11527 VALLEY PIKE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-0902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:281-903-2171
Practice Address - Street 1:11527 VALLEY PIKE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-0902
Practice Address - Country:US
Practice Address - Phone:713-303-5585
Practice Address - Fax:281-903-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX624425163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty