Provider Demographics
NPI:1396172185
Name:OPRTHOPAEDIC SURGICAL ASSISTANTS
Entity type:Organization
Organization Name:OPRTHOPAEDIC SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:JAMRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-225-8120
Mailing Address - Street 1:7933 FARMINGHAM RD
Mailing Address - Street 2:SUITE C BOX 11
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2287
Mailing Address - Country:US
Mailing Address - Phone:281-973-9781
Mailing Address - Fax:844-409-5532
Practice Address - Street 1:7933 FARMINGHAM ROAD
Practice Address - Street 2:SUITE C BOX 11
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:281-973-9781
Practice Address - Fax:844-409-5532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty