| NPI | 1871022251 |
|---|---|
| Former Legal Business Name | LONDON SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LEANA L BASCO-CLARK Licensed Surgical Assistant 281-620-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00406) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-07-12 |