CC ASSISTANT SURGEON, PLLC; NPI #1316325012

Contact Information

CC ASSISTANT SURGEON, PLLC

2803 E 5TH ST
TUCSON, AZ 85716

Phone: 214-227-2457
Fax: 214-764-0880
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for CC ASSISTANT SURGEON, PLLC

NPI Number	`1316325012`
LBN Legal business name	CC ASSISTANT SURGEON, PLLC
Authorized official	CLAUDIA COELLO-RASOUMOFF - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/13/2015
Last updated	10/06/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CC ASSISTANT SURGEON, PLLC

Contact Information

Specialty

Surgical

NPI Profile & details for CC ASSISTANT SURGEON, PLLC

Reviews for CC ASSISTANT SURGEON, PLLC