A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetrics |
207VX0000X | 16 | Physician/Obstetrics & Gynecology | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1205937117 |
| LBN Legal business name | PREMIUM SURGICAL SERVICES, L.L.C. |
| Authorized official | MERCEDES AGUIRRE-TUDELA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/25/2006 |
| Last updated | 03/03/2008 - About 18 years ago |
| Identifiers | n/a |
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