Agave Surgical Services Llc

LBN: Agave Surgical Services Llc
Agave Surgical Services Llc is an health care organization with primary practice located at 2045 S Vineyard Ste 142 , Mesa AZ 85210-6891. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as the primary health care specialty. Agave Surgical Services Llc can be contacted via phone (480) 330-6010, or through Andalkar, Bernadette via phone (520) 490-8368.

Contact Information

Primary practice address
2045 S Vineyard Ste 142 Mesa AZ 85210-6891
Phone: (480) 330-6010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andalkar, Bernadette ACNP-BC
Phone: (520) 490-8368

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X

Profile Details

NPI number 1477026862
LBN Legal business name Agave Surgical Services Llc
DBA Doing business as
Authorized official Andalkar, Bernadette ACNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2019
Last updated Jan 8th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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