Provider Demographics
NPI:1730413881
Name:O&H SURGICAL PLLC
Entity type:Organization
Organization Name:O&H SURGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-956-6743
Mailing Address - Street 1:462 HERNDON PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5233
Mailing Address - Country:US
Mailing Address - Phone:703-956-6743
Mailing Address - Fax:703-956-6749
Practice Address - Street 1:462 HERNDON PKWY
Practice Address - Street 2:STE 101
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5233
Practice Address - Country:US
Practice Address - Phone:703-956-6743
Practice Address - Fax:703-956-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035038174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty