NPI 1093597197

Jesus Gregorio Carrera Boada, SAC

Practitioner Surgical Assistant Conroe, TX

Practice location

Address: 2200 N Loop 336 W APT 814, Conroe, TX 77304-3691
Phone: (936) 320-4210

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 23-580 (TX)

Other Specialist/Technologist, Other providers in Texas →

Registry record

NPI: 1093597197
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2023
Record last updated: 16 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.