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METROPLEX SURGICAL PHYSICIANS ASSISTANTS PLLC NPI 1437825627


NPI Information

NPI: 1437825627
Provider Name: METROPLEX SURGICAL PHYSICIANS ASSISTANTS PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

CLIA Number: 45D0890349

Address:
2937 LAGO VISTA LN
ROCKWALL, TX
ZIP 75032
Phone: (214) 709-7562
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METROPLEX SURGICAL PHYSICIANS ASSISTANTS PLLC is a surgical physician assistant in Rockwall, TX. METROPLEX SURGICAL PHYSICIANS ASSISTANTS PLLC NPI is 1437825627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2937 LAGO VISTA LN
ROCKWALL, TX
ZIP 75032-466
Phone: (214) 709-7562

The provider's authorized official is Chris J Cottrell .
The authorized official title is Owner and has the following contact phone number (214) 709-7562.

The CLIA number assigned to this NPI record is 45D0890349 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/18/2021 and was last updated on 12/6/2021.


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
1363AM0700XPhysician AssistantMedicalNo
2363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11972110971OTHERTEXASNPI

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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