Organization
PROASSIST SURGICAL ASSOCIATES, LLC
Active
Other names
ProAssist Billing Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W FULLER PA-C (PARTNER)
(972) 363-8200
Entity
Organization
Contact information
Practice address
2150 S CENTRAL EXPY, STE 130, MCKINNEY, TX 75070-4070
(972) 363-8200
(972) 363-8196
Mailing address
2150 S CENTRAL EXPY, STE 130, MCKINNEY, TX 75070-4070
(972) 363-8200
(972) 363-8196
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
CERT 82396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062PC
BCBS
TX
01
—
412217629
OLD TAX ID
TX
01
—
613033500
DOL
TX
Enumeration date
11/20/2006
Last updated
02/10/2011
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