Provider Demographics
NPI:1427514207
Name:ACE SURGICAL ASSISTANT ASSOCIATES LLC
Entity type:Organization
Organization Name:ACE SURGICAL ASSISTANT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATALINO
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, LSA
Authorized Official - Phone:281-653-2924
Mailing Address - Street 1:14403 WALTERS RD. #680366
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-0366
Mailing Address - Country:US
Mailing Address - Phone:713-254-6136
Mailing Address - Fax:281-893-0780
Practice Address - Street 1:14403 WALTERS RD # 680366
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1336
Practice Address - Country:US
Practice Address - Phone:281-653-2924
Practice Address - Fax:832-478-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-16
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA00279OtherLICENSE SURGICAL ASSISTATN