Provider Demographics
NPI:1811243538
Name:STRATEGIC SURGICAL ASSISTANTS LLC
Entity type:Organization
Organization Name:STRATEGIC SURGICAL ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA-C
Authorized Official - Prefix:
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-250-1339
Mailing Address - Street 1:101 S COIT RD STE 36-320
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5743
Mailing Address - Country:US
Mailing Address - Phone:469-250-1339
Mailing Address - Fax:469-398-8040
Practice Address - Street 1:101 S COIT RD STE 36-320
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5743
Practice Address - Country:US
Practice Address - Phone:469-250-1339
Practice Address - Fax:469-398-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty