Organization
APEX SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVONDA JOHNSON (SA-C, RCIS)
(972) 333-1705
Entity
Organization
Contact information
Practice address
3416 ENTERPRISE DR # 432, ROWLETT, TX 75088-4087
(972) 333-1705
Mailing address
3416 ENTERPRISE DR # 432, ROWLETT, TX 75088-4087
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
09/08/2009
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