Organization · Type 2 NPI
Agile Surgical Assistants, LLC
Surgical Physician Assistant · Fort Worth, TX
NPI number
1366976235
Active
Practice location
8428 Whippoorwill Dr
Fort Worth, TX 76123-1996
Fax (817) 394-1427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00564 (TX) |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1366976235
Agile Surgical Assistants, LLC's National Provider Identifier is 1366976235, issued on Apr 17, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 29, 2017.