JACKSONVILLE SURGICAL ASSOCIATES LLP NPI 1336103605

NPI Information

JACKSONVILLE SURGICAL ASSOCIATES, LLP is a specialist in Dallas, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JACKSONVILLE SURGICAL ASSOCIATES, LLP NPI is 1336103605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7920 BELT LINE RD
SUITE 310
DALLAS, TX
ZIP 75254-145
Phone: (972) 331-8100
Fax: (972) 331-8110

The provider's authorized official is Malinda Kay Felts .
The authorized official title is Office Manager and has the following contact phone number (903) 586-6863.

The CLIA number assigned to this NPI record is 45D2117319 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/13/2006 and was last updated on 1/18/2008.

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:

Other Identifiers

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