NEW MOON SURGICAL ASSISTANCE LLC NPI 1548889769

NPI Information

NPI: 1548889769
Provider Name: NEW MOON SURGICAL ASSISTANCE, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
4419 BEARBERRY AVE
BAYTOWN, TX
ZIP 77521
Phone: (346) 715-9098
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NEW MOON SURGICAL ASSISTANCE, LLC is a surgical physician assistant in Baytown, TX. NEW MOON SURGICAL ASSISTANCE, LLC NPI is 1548889769. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4419 BEARBERRY AVE
BAYTOWN, TX
ZIP 77521-677
Phone: (346) 715-9098

The provider's authorized official is Jason T Smith .
The authorized official title is President and has the following contact phone number (346) 715-9098.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

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
1	363AS0400X	Physician Assistant	Surgical			Yes

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

NPI Synchronization or Removal

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