Provider Demographics
NPI:1982254348
Name:HAMMOND SURGICAL ASSIST, L.L.C.
Entity Type:Organization
Organization Name:HAMMOND SURGICAL ASSIST, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:E
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-630-2912
Mailing Address - Street 1:PO BOX 8219
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8219
Mailing Address - Country:US
Mailing Address - Phone:737-999-0321
Mailing Address - Fax:737-999-0321
Practice Address - Street 1:160 WINDERMERE WAY
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9262
Practice Address - Country:US
Practice Address - Phone:713-630-2912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty