Provider Demographics
NPI:1962730200
Name:SAMURAI ASSISTING INC
Entity type:Organization
Organization Name:SAMURAI ASSISTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:WASSNER
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:210-391-4324
Mailing Address - Street 1:18827 CANYON VIEW PASS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-2879
Mailing Address - Country:US
Mailing Address - Phone:210-391-4324
Mailing Address - Fax:210-733-5844
Practice Address - Street 1:18827 CANYON VIEW PASS
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-2879
Practice Address - Country:US
Practice Address - Phone:210-391-4324
Practice Address - Fax:210-733-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00495246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA00495OtherLSA