OLTON SURGICAL SERVICES LLC NPI 1912353905

NPI Information

NPI: 1912353905
Provider Name: OLTON SURGICAL SERVICES, LLC

Doing Business As: OLTON SURGICAL

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3375 WESTPARK DR
UNIT 442
HOUSTON, TX
ZIP 77005
Phone: (832) 523-3066
Get Directions

OLTON SURGICAL SERVICES, LLC is a surgical physician assistant in Houston, TX. OLTON SURGICAL SERVICES, LLC NPI is 1912353905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Olton Surgical.

The provider's business location address is:

3375 WESTPARK DR
UNIT 442
HOUSTON, TX
ZIP 77005-262
Phone: (832) 523-3066
Fax: (832) 602-2638

The provider's authorized official is Kathyann Cynthelese Bryant .
The authorized official title is Licensed Surgical Assistant and has the following contact phone number (832) 523-3066.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 10/13/2020.

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	Primary
1	225700000X	Massage Therapist		No
2	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	No
3	363AS0400X	Physician Assistant	Surgical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SA00606	OTHER	TEXAS	SURGICAL ASSISTANT'S LICENSE
2	00P07U	OTHER	TEXAS	BCBS - OLTON SURGICAL SERVICES, LLC

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: 4/28/2024

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