| Organization Name: | BNAA SURGICAL PLLC |
| NPI Number: | 1376900423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADRIAN SEPULVEDA (AUTHORIZED OFFICIAL) |
| Mailing Address: | 4000 Marshall Rd Crosby |
| State: | TX US |
| Postal Code: | 775326025 |
| Phone Number: | 2814636309 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2016 |
| NPI Last Update Date: | 01/20/2016 |
| 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: | |