Organization · Type 2 NPI

Bluejack Surgical Affiliates

Surgical Physician Assistant · Richardson, TX

NPI number 1043869100 Active

Practice location

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400

Call (469) 250-4422 Map

Fax (469) 250-7068

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1043869100

Bluejack Surgical Affiliates's National Provider Identifier is 1043869100, issued on Sep 10, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Richardson, TX. The record was last updated on Sep 10, 2019.