SALLY WALTER, LLC
Surgical Assistants and Surgical Technologists at Tello Path, Austin, TX

License number
Texas SA00311
Category
Technologists
Type
Surgical Technologist
Owner
Name: SALLY JO WALTER LSA
Title: SURGICAL ASSISTANT
Phone: (512) 470-4023
Address
Address
4729 Tello Path, Austin, TX 78749
National Provider ID: 1407094022
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SALLY WALTER, LLC

Austin, TX

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Doing business as:
Sally Walter, LLC
Registration:
Dec 31, 2007
Addresses:
4729 Tello Path, Austin, TX 78749 (Mailing)
4107 Medical Pkwy, Austin, TX 78756
State ID:
0800917711
Business type:
Domestic Limited Liability Company (LLC)
MEMBER, Member , Director, Secretary:
Sally J Walter (MEMBER, Member , Director, Secretary), 4729 Tello Path, Austin, TX 78749
Agent:
Luis C Sauceda,4107 Medical Pkwy #210, Austin, TX 78756 (Physical)
TIN:
32034394737

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