Provider Demographics
NPI:1770983470
Name:FIRST ASSISTANTS SAN ANTONIO LLC
Entity type:Organization
Organization Name:FIRST ASSISTANTS SAN ANTONIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARDIOLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSFA
Authorized Official - Phone:210-863-8127
Mailing Address - Street 1:941 MITCH THOMAS
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4827
Mailing Address - Country:US
Mailing Address - Phone:210-863-8127
Mailing Address - Fax:281-974-3171
Practice Address - Street 1:941 MITCH THOMAS
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4827
Practice Address - Country:US
Practice Address - Phone:210-863-8127
Practice Address - Fax:281-974-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty