Organization Name: | CHOICE SURGICAL ASSISTANTS, INC. |
NPI Number: | 1003084815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY ALAN KUNZE (PRESIDENT/OWNER) |
Mailing Address: | 14090 Southwest Fwy Ste 300 Sugar Land |
State: | TX US |
Postal Code: | 774783679 |
Phone Number: | 2813402090 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |