Elite Coastal Surgical Assist
Organization Active NPI Surgical Physician Assistant · Taft, TX
NPI 1831847458 · NPPES record last updated Mar 13, 2022
Key facts
- NPI
- 1831847458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Legal business name
- ELITE COASTAL SURGICAL ASSIST
- Practice address
- 449 E Elm St
Taft, TX 78390-2518 - Phone
- (361) 222-2144
- NPI assigned
- Mar 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Leandra Ryan Alvarado, LSA
- Title
- Licensed Surgical Assistant
- Phone
- (361) 222-2144
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | Yes |
Addresses
Primary practice location
449 E Elm St
Taft, TX 78390-2518
Mailing address
449 E Elm St
Taft, TX 78390-2518
Phone (361) 222-2144
Other providers in Taft, TX
- Leandra Ryan Alvarado
- John Cantu
- Capsule Pharmacy
- Charles D Kolb DDS Inc
- City of Taft
- Veronica Gonzalez
- Caitlyn Martha Grace Hornsby
- Jose Benamu M.D. P.a.
- Charles Douglas Kolb
- Jonathan Charles Kolb
All providers in Taft, TX · Surgical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.