TEXAS SURGICAL ALLY NPI 1447789896

NPI Information

NPI: 1447789896
Provider Name: TEXAS SURGICAL ALLY
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
6677 FRIENDSWAY DR
FORT WORTH, TX
ZIP 76137
Phone: (832) 457-8868
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TEXAS SURGICAL ALLY is a surgical physician assistant in Fort Worth, TX. TEXAS SURGICAL ALLY NPI is 1447789896. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6677 FRIENDSWAY DR
FORT WORTH, TX
ZIP 76137
Phone: (832) 457-8868

The provider's authorized official is Jamie Burk .
The authorized official title is Owner and has the following contact phone number (832) 457-8868.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/21/2022.

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	SA00468	TEXAS	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	0089YL	OTHER	TEXAS	BCBS

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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