Organization · Type 2 NPI

247 Obgyn Surgical Assisting Services

Surgical Physician Assistant · Grand Prairie, TX

NPI number 1790179893 Active

Practice location

4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057

Fax (972) 752-7889

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1790179893

247 Obgyn Surgical Assisting Services's National Provider Identifier is 1790179893, issued on Mar 26, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 26, 2015.