Eastlake Surgical Associates, LLC
Eastlake Surgical Associates, LLC provides Surgical Physician Assistant services in Conroe, Texas. Licensed in Texas. Registered with an NPI since 2018.
- Licensed in
- TX
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2007 Shasta Ridge DrConroe, TX 77304-4697
Phone: (936) 444-7071
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence SA00639 (TX) |
|---|
Record details
| NPI number | 1780163378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Moreland — Licensed Surgical Assistant · (936) 444-7071 |
| NPI enumerated | August 14, 2018 |
| Last updated in NPPES | March 30, 2022 |
| Certification date | July 30, 2020 |
| Mailing address | 2007 Shasta Ridge Dr, Conroe, TX 77304-4697 |
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