Organization · Type 2 NPI

Surgical Reconstruction Services, PLLC

Surgical Physician Assistant · Rockwall, TX

NPI number 1205445954 Active

Practice location

3136 Horizon Rd Ste 100
Rockwall, TX 75032-7808

Fax (214) 764-0880

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1205445954

Surgical Reconstruction Services, PLLC's National Provider Identifier is 1205445954, issued on Jul 29, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rockwall, TX. The record was last updated on Jul 29, 2020.