# CLA SURGICAL ASSISTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154405462
- **Authorized official:** CECILIO L ALVARADO CFA (OWNER)
- **Authorized official phone:** (817) 294-7444

## Contact information

- **Practice address:** 2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
- **Practice address phone:** (903) 614-1000
- **Mailing address:** PO BOX 11219, FORT WORTH, TX 76110-0219
- **Mailing address phone:** (817) 294-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZN0300X | Nephrology Specialist/Technologist | 680751 | TX | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 680751 | CFA | TX |