Provider Demographics
NPI:1386996155
Name:TSL SURGICAL ASSISTANT SERVICES LLC
Entity type:Organization
Organization Name:TSL SURGICAL ASSISTANT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:281-653-2924
Mailing Address - Street 1:PO BOX 5331
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-5331
Mailing Address - Country:US
Mailing Address - Phone:281-653-2924
Mailing Address - Fax:281-254-7923
Practice Address - Street 1:5314 SUMMIT LODGE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6033
Practice Address - Country:US
Practice Address - Phone:281-653-2924
Practice Address - Fax:281-254-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty