| NPI | 1104340058 |
|---|---|
| Doing Business As | GULF COAST SURGICAL ASSISTANTS LCC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHAWN DEHART President 512-557-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 87458) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |