Plastic Surgery Assistants PA

NPI #1407278906 in Dallas, Texas

Provider Information

NPI Number
1407278906
Entity Type
Organization
Organization Name
Plastic Surgery Assistants PA
Primary Specialty
Physician Assistant
Enumeration Date
Jan 17, 2014
Last Updated
Jan 17, 2014

Practice Location

Address
9101 N CENTRAL EXPY
Address 2
STE 600
City
Dallas
State
Texas
ZIP Code
75231-5927
Phone
(214) 540-1420

Authorized Official

Name
HEATHER GAMACHE
Title
PEC COORDINATOR
Phone
(508) 923-7611

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant

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