Organization
NCG SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GUSSIS PA-C (PHYSICIAN ASSISTANT)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1004 SADDLEBROOK DR, COLLEYVILLE, TX 76034-3829
(214) 227-2457
(214) 764-0880
Mailing address
1004 SADDLEBROOK DR, COLLEYVILLE, TX 76034-3829
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05759
TX
Other
Enumeration date
08/23/2016
Last updated
09/27/2024
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