Jason M Giles, CSFA, LSA Valid NPI
Individual provider · Surgical Physician Assistant · Lake Jackson, TX
- NPI
- 1891123725
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- License number
- SA00582 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-11-01
- Last updated
- 2016-10-28
Practice location
117 Highway 332 W Ste J, Suite 5 Box 222
Lake Jackson, TX 77566-4022
(432) 230-5412