Organization · Type 2 NPI
Squire Surgical Services PLLC
Surgical Physician Assistant · Southlake, TX
NPI number
1114451614
Active
Practice location
2004 Vail Rd
Southlake, TX 76092-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1114451614
Squire Surgical Services PLLC's National Provider Identifier is 1114451614, issued on Apr 12, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Southlake, TX. The record was last updated on Apr 12, 2017.