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Organization

VICTORY FIRST ASSISTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIANO PARILLA BSN, RN, CNOR, RNFA (CEO)
(817) 682-3792
Entity
Organization

Contact information

Practice address
412 ROUNDROCK LN, FORT WORTH, TX 76140-6547
(817) 886-3466
Mailing address
412 ROUNDROCK LN, FORT WORTH, TX 76140-6547
(817) 886-3466

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
163WS0121X
Plastic Surgery Registered Nurse
211D00000X
Podiatric Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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