Provider Demographics
NPI:1427421502
Name:MY SURGICAL ASSIST LLC
Entity type:Organization
Organization Name:MY SURGICAL ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-277-5886
Mailing Address - Street 1:7801 HILLCROFT ST
Mailing Address - Street 2:#F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-7203
Mailing Address - Country:US
Mailing Address - Phone:832-277-5886
Mailing Address - Fax:888-628-3870
Practice Address - Street 1:7801 HILLCROFT ST
Practice Address - Street 2:#F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-7203
Practice Address - Country:US
Practice Address - Phone:832-277-5886
Practice Address - Fax:888-628-3870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty