PROFESSIONAL ASSISTANT SERVICES PA NPI 1194086710

NPI Information

  • NPI: 1194086710
  • Provider Name: PROFESSIONAL ASSISTANT SERVICES PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 400 W LBJ FWY
    SUITE 330
    IRVING, TX
    ZIP 75063
  • Phone: (214) 306-8065

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NPI Details

PROFESSIONAL ASSISTANT SERVICES PA is a surgical physician assistant in Irving, TX. PROFESSIONAL ASSISTANT SERVICES PA NPI is 1194086710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 W LBJ FWY
SUITE 330
IRVING, TX
ZIP 75063-718
Phone: (214) 306-8065
Fax: (972) 506-8733

The provider's authorized official is Mark Greenberg .
The authorized official title is Officer and has the following contact phone number (214) 306-8065.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

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
1363AS0400XPhysician AssistantSurgicalYes

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: 11/21/2025

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