Provider Demographics
NPI:1154737591
Name:ELITE SURGICAL ASSISTANTS
Entity type:Organization
Organization Name:ELITE SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMARRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-453-1856
Mailing Address - Street 1:1422 ROANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2420
Mailing Address - Country:US
Mailing Address - Phone:832-453-1856
Mailing Address - Fax:855-405-5959
Practice Address - Street 1:1422 ROANWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2420
Practice Address - Country:US
Practice Address - Phone:832-453-1856
Practice Address - Fax:855-405-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00056246ZC0007X, 246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty