Organization
AVC SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BLAKELY (PRACTICE ADMINISTRATOR)
(214) 445-6959
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN STE 220, DALLAS, TX 75231-4425
(214) 750-3646
(214) 363-8299
Mailing address
8230 WALNUT HILL LN STE 220, DALLAS, TX 75231-4425
(214) 750-3646
(214) 363-8299
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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