PROSURG SURGICAL ASSISTING LLC NPI 1003352840

NPI Information

NPI: 1003352840
Provider Name: PROSURG SURGICAL ASSISTING LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3077 N GOLIAD ST
ROCKWALL, TX
ZIP 75087
Phone: (214) 906-2875
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PROSURG SURGICAL ASSISTING LLC is a surgical physician assistant in Rockwall, TX. PROSURG SURGICAL ASSISTING LLC NPI is 1003352840. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3077 N GOLIAD ST
ROCKWALL, TX
ZIP 75087-050
Phone: (214) 906-2875
Fax: (972) 771-1825

The provider's authorized official is Mandy Mccarver .
The authorized official title is President and has the following contact phone number (214) 906-2875.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 1/18/2017.

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
1	363AS0400X	Physician Assistant	Surgical	168736	TEXAS	Yes

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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