Provider Demographics
NPI:1427293265
Name:OUTFOX SURGICAL ASSISTING, P.C.
Entity type:Organization
Organization Name:OUTFOX SURGICAL ASSISTING, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:R.N., C.S.T., S.A.
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-867-3770
Mailing Address - Street 1:6110 FLOWER MDW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3441
Mailing Address - Country:US
Mailing Address - Phone:210-867-3770
Mailing Address - Fax:
Practice Address - Street 1:6110 FLOWER MDW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3441
Practice Address - Country:US
Practice Address - Phone:210-867-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital