Mr. Jack Louis Addesso, RSA
Mr. Jack Louis Addesso, RSA is a Surgical Assistant in Houston, Texas. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
7324 SW Fwy Ste 1550Houston, TX 77074-2053
Phone: (713) 779-9800
Fax: (713) 779-9813
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 238.000021 (IL) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 238.000021 (IL) |
| Surgical Technologist | Taxonomy 246ZS0410X · Licence 238.000021 (IL) |
Record details
| NPI number | 1376679373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RSA |
| Sole proprietor | No |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | October 4, 2018 |
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