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NORTHEAST TEXAS SURGICAL SPECIALISTS PLLC NPI 1700263621


NPI Information

NPI: 1700263621
Provider Name: NORTHEAST TEXAS SURGICAL SPECIALISTS PLLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 45D2239452

Address:
2001 N JEFFERSON AVE
SUITE 211
MOUNT PLEASANT, TX
ZIP 75455
Phone: (903) 577-0784
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NORTHEAST TEXAS SURGICAL SPECIALISTS PLLC is a surgery in Mount Pleasant, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NORTHEAST TEXAS SURGICAL SPECIALISTS PLLC NPI is 1700263621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 N JEFFERSON AVE
SUITE 211
MOUNT PLEASANT, TX
ZIP 75455-338
Phone: (903) 577-0784
Fax: (903) 577-8984

The provider's authorized official is Greggory N Angier .
The authorized official title is Owner/md and has the following contact phone number (903) 577-0784.

The CLIA number assigned to this NPI record is 45D2239452 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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