Organization
TSC SURGICAL GROUP PLLC
Active
Organization
TSC SURGICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRESH ROHAN JEYARAJAH MD (OWNER/PHYSICIAN)
(972) 619-3500
Entity
Organization
Contact information
Practice address
2805 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(972) 619-3500
Mailing address
PO BOX 674096, DALLAS, TX 75267-4096
(972) 619-3500
(214) 272-8985
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
K3263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310761701
—
TX
Enumeration date
08/07/2012
Last updated
12/01/2017
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