Squire Surgical Services Pllc

NPI #1114451614 in Southlake, Texas

Provider Information

NPI Number
1114451614
Entity Type
Organization
Organization Name
Squire Surgical Services Pllc
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Apr 12, 2017
Last Updated
Apr 12, 2017

Practice Location

Address
2004 VAIL RD
State
Texas
ZIP Code
76092-3849
Phone
(817) 683-5826

Authorized Official

Name
MS. NICOLE LOWE
Title
BILLING MANAGER
Phone
(817) 683-5826

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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