# 117 SURGICAL ASSISTANTS, PLLC

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

## Provider details

- **NPI number:** 1760928576
- **Authorized official:** CHARLES C NEFF (DIRECTOR)
- **Authorized official phone:** (817) 485-5100

## Contact information

- **Practice address:** 8840 CYPRESS WATERS BLVD STE 190, COPPELL, TX 75019-4621
- **Practice address phone:** (817) 485-5100
- **Mailing address:** 8840 CYPRESS WATERS BLVD STE 190, COPPELL, TX 75019-4621
- **Mailing address phone:** (817) 485-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 01/18/2017