Provider Demographics
NPI:1174897102
Name:ALL-PRO SURGICAL ASSISTANTS OF HOUSTON, LLC
Entity type:Organization
Organization Name:ALL-PRO SURGICAL ASSISTANTS OF HOUSTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:SUSANA
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-538-5199
Mailing Address - Street 1:PO BOX 751941
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77275-1941
Mailing Address - Country:US
Mailing Address - Phone:713-538-5199
Mailing Address - Fax:
Practice Address - Street 1:8314 KIRKVILLE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2194
Practice Address - Country:US
Practice Address - Phone:713-538-5199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00470246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty