360 SURGICAL ASSISTING OF CENTRAL TEXASLLC NPI 1790430072

NPI Information

360 SURGICAL ASSISTING OF CENTRAL TEXAS,LLC is a surgical physician assistant in Austin, TX. 360 SURGICAL ASSISTING OF CENTRAL TEXAS,LLC NPI is 1790430072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 W BEN WHITE BLVD
AUSTIN, TX
ZIP 78704-903
Phone: (512) 447-2211

The provider's authorized official is Heriberto Bolanos .
The authorized official title is Certified Surgical First Assistant and has the following contact phone number (512) 644-1931.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 2/15/2022.

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:

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