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EXCELLENT SURGICAL ASSIST GROUP NPI 1679704167


NPI Information

NPI: 1679704167
Provider Name: EXCELLENT SURGICAL ASSIST GROUP
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Organization

Specialization: Surgical Assistant

Address:
924 WHITEWATER TRL
DESOTO, TX
ZIP 75115
Phone: (972) 345-5074
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EXCELLENT SURGICAL ASSIST GROUP is a surgical assistant specialist technologist other in Desoto, TX. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. EXCELLENT SURGICAL ASSIST GROUP NPI is 1679704167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

924 WHITEWATER TRL
DESOTO, TX
ZIP 75115-443
Phone: (972) 345-5074

The provider's authorized official is Dorothea Rena Hamilton .
The authorized official title is President and has the following contact phone number (972) 345-5074.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 7/31/2009.


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
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant3354TEXASYes

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: 5/5/2024

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