Organization · Type 2 NPI

Meadow Lane Surgical Alliance, PLLC

Surgical Physician Assistant · Dallas, TX

NPI number 1447764873 Active

Practice location

9301 N Central Expy Ste 400
Dallas, TX 75231-0805

Mailing address

1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed
Medical-Surgical Clinical Nurse Specialist 364SM0705XNone listed

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About NPI 1447764873

Meadow Lane Surgical Alliance, PLLC's National Provider Identifier is 1447764873, issued on Nov 21, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Sep 7, 2023.