1932582038 NPI number — THE SURGEONS ASSIST, PLLC

Table of content: (NPI 1932582038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932582038 NPI number — THE SURGEONS ASSIST, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE SURGEONS ASSIST, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932582038
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5621 DATEWOOD LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75071-8351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-207-6425
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5621 DATEWOOD LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75071-8351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-207-6425
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SNIPES
Authorized Official First Name:
APRIL
Authorized Official Middle Name:
DENISE DOLLIOLE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
469-207-6425

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  808072 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1447693262 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com