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Organization
SURGICUS PLLC
Active
Organization
SURGICUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J BORGFELD MD (OWNER/AUTHORIZED OFFICIAL)
(214) 912-2019
Entity
Organization
Contact information
Practice address
1351 W PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75080-1133
(765) 284-0493
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
07/10/2017
Last updated
07/10/2017
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