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Organization
SURGICAL NURSE FIRST ASSIST, PC
Active
Organization
SURGICAL NURSE FIRST ASSIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA E SLAGLE RNFA (RNFA)
(817) 294-7444
Entity
Organization
Contact information
Practice address
7100 OAKMONT BLVD, FORT WORTH, TX 76132-3900
(817) 246-5700
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
620284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003KE
BCBS
TX
01
—
0060KE
BCBSTX
TX
Enumeration date
08/29/2006
Last updated
02/03/2010
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