MEADOW LANE SURGICAL ALLIANCE PLLC NPI 1447764873

NPI Information

NPI: 1447764873
Provider Name: MEADOW LANE SURGICAL ALLIANCE, PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
9301 N CENTRAL EXPY STE 400
DALLAS, TX
ZIP 75231
Phone: (210) 598-4262
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MEADOW LANE SURGICAL ALLIANCE, PLLC is a surgical physician assistant in Dallas, TX. MEADOW LANE SURGICAL ALLIANCE, PLLC NPI is 1447764873. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9301 N CENTRAL EXPY STE 400
DALLAS, TX
ZIP 75231-805
Phone: (210) 598-4262

The provider's authorized official is Andrew Clavenna .
The authorized official title is Manager and has the following contact phone number (214) 378-3310.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 9/7/2023.

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	364SM0705X	Clinical Nurse Specialist	Medical-Surgical			No
2	363AS0400X	Physician Assistant	Surgical			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: 4/28/2024

NPI Synchronization or Removal

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