Provider Demographics
NPI:1386096998
Name:SECOND SCALPEL, INC
Entity type:Organization
Organization Name:SECOND SCALPEL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIOBAIN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, CCRN
Authorized Official - Phone:713-588-9302
Mailing Address - Street 1:6736 HORSESHOE BND
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77632-7978
Mailing Address - Country:US
Mailing Address - Phone:713-588-9302
Mailing Address - Fax:
Practice Address - Street 1:6736 HORSESHOE BND
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77632-7978
Practice Address - Country:US
Practice Address - Phone:713-588-9302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty