Provider Demographics
NPI:1669623146
Name:FIRST CALL SURGICAL ASSISTANTS
Entity type:Organization
Organization Name:FIRST CALL SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWEET
Authorized Official - Suffix:
Authorized Official - Credentials:LSA, CSA
Authorized Official - Phone:281-748-5043
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-1001
Mailing Address - Country:US
Mailing Address - Phone:281-748-5043
Mailing Address - Fax:
Practice Address - Street 1:12323 PINEY BEND DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7853
Practice Address - Country:US
Practice Address - Phone:281-748-5042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00318174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty