Mdassistllc

NPI #1538486246 in Waxahachie, Texas

Provider Information

NPI Number: 1538486246
Entity Type: Organization
Organization Name: Mdassistllc
Primary Specialty: Anesthesiologist Assistant
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 1626 W HIGHWAY 287 BUSINESS
Address 2: 107
City: Waxahachie
State: Texas
ZIP Code: 75165-4712
Phone: (972) 937-7240

Authorized Official

Name: TOM ELLIS
Title: PRESIDENT
Phone: (972) 937-7240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Anesthesiologist Assistant	367H00000X	Primary

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