Bluejack Surgical Affiliates
NPI #1043869100 in Richardson, Texas
Provider Information
- NPI Number
- 1043869100
- Entity Type
- Organization
- Organization Name
- Bluejack Surgical Affiliates
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 1202 E ARAPAHO RD STE 122
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-2400
- Phone
- (469) 250-4422
Authorized Official
- Name
- CHRISTOPHER JOHN BROCK
- Title
- MANAGING PARTNER
- Phone
- (972) 979-6222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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