PREFERRED SURGICAL ASSOCIATES OF TEXAS NPI 1942717301

NPI Information

PREFERRED SURGICAL ASSOCIATES OF TEXAS is a surgical physician assistant in Mesquite, TX. PREFERRED SURGICAL ASSOCIATES OF TEXAS NPI is 1942717301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1208 PAINTBRUSH ST
MESQUITE, TX
ZIP 75149-634
Phone: (214) 227-2457
Fax: (214) 764-0880

The provider's authorized official is Johnny Ray Staton .
The authorized official title is Director and has the following contact phone number (214) 980-9437.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 4/25/2019.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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