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BIG BLUE SURGICAL ASSISTING NPI 1366817769


NPI Information

NPI: 1366817769
Provider Name: BIG BLUE SURGICAL ASSISTING
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
28003 LONE ROCK CT
FULSHEAR, TX
ZIP 77441
Phone: (859) 595-6699
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BIG BLUE SURGICAL ASSISTING is a surgical physician assistant in Fulshear, TX. BIG BLUE SURGICAL ASSISTING NPI is 1366817769. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28003 LONE ROCK CT
FULSHEAR, TX
ZIP 77441-596
Phone: (859) 595-6699

The provider's authorized official is Amy Burton .
The authorized official title is Certified Surgical First Assistant and has the following contact phone number (859) 595-6699.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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