CSM Surgical Assistants of Houston

Organization Active NPI Surgical Physician Assistant · Manvel, TX

NPI 1891200804 · NPPES record last updated Dec 13, 2017

Key facts

NPI
1891200804
Entity type
Organization (NPI type 2)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
SA00216 (TX)
Legal business name
CSM SURGICAL ASSISTANTS OF HOUSTON
Practice address
4114 Candlewood LN
Manvel, TX 77578-5604
Phone
(713) 806-4065
Fax
(281) 489-4577
NPI assigned
Dec 13, 2017
Organization subpart
No

Authorized official

Name
Ronald Marsh, LSA
Title
Owner
Phone
(713) 806-4065

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AS0400X SA00216 TX Yes

Addresses

Primary practice location

4114 Candlewood LN
Manvel, TX 77578-5604

Mailing address

4114 Candlewood LN
Manvel, TX 77578-5604
Phone (713) 806-4065

Other providers in Manvel, TX

All providers in Manvel, TX · Surgical Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.