Organization
DFW SURGICAL SOLUTIONS LLC
Active
Other names
DFW Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE DEAN BONNER II DC (OWNER/MEMBER)
(817) 480-1800
Entity
Organization
Contact information
Practice address
2521 LONE STAR LN, GRAPEVINE, TX 76051-4535
(817) 480-1800
(817) 251-0205
Mailing address
PO BOX 186, GRAPEVINE, TX 76099-0186
(817) 480-1800
(817) 251-0205
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
537082/686090
TX
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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