Basic Information
| Provider Information | |||||||||
| NPI: | 1174040653 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DA HOUSTON ASSISTANTS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16605 SOUTHWEST FWY STE 285 | ||||||||
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| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774793500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813130031 | ||||||||
| FaxNumber: | 2813130032 | ||||||||
| Practice Location | |||||||||
| Address1: | 16655 SOUTHWEST FWY | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812747000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2017 | ||||||||
| LastUpdateDate: | 08/25/2017 | ||||||||
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| AuthorizedOfficialLastName: | TURNER | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2813130031 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZC0007X | Y | 193400000X SINGLE SPECIALTY GROUP | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Certified First Assistant |
No ID Information.