117 Surgical Assistants, Pllc

NPI #1760928576 in Coppell, Texas

Provider Information

NPI Number: 1760928576
Entity Type: Organization
Organization Name: 117 Surgical Assistants, Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 8840 CYPRESS WATERS BLVD STE 190
City: Coppell
State: Texas
ZIP Code: 75019-4621
Phone: (817) 485-5100

Authorized Official

Name: CHARLES C NEFF
Title: DIRECTOR
Phone: (817) 485-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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