SURGICAL ASSISTANTS OF DALLAS SUPPLIES LLC NPI 1255596086

NPI Information

NPI: 1255596086
Provider Name: SURGICAL ASSISTANTS OF DALLAS SUPPLIES, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
10140 ESTATE LN
DALLAS, TX
ZIP 75238
Phone: (972) 672-8468
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SURGICAL ASSISTANTS OF DALLAS SUPPLIES, LLC is a surgical physician assistant in Dallas, TX. SURGICAL ASSISTANTS OF DALLAS SUPPLIES, LLC NPI is 1255596086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10140 ESTATE LN
DALLAS, TX
ZIP 75238-135
Phone: (972) 672-8468
Fax: (214) 221-0614

The provider's authorized official is Kelly Campbell .
The authorized official title is Partner and has the following contact phone number (972) 672-8468.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 3/25/2015.

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
1	363AS0400X	Physician Assistant	Surgical			Yes

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
1	00Z928	MEDICARE PIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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