Organization
KDS SURGICAL ASSISTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY DEAN SANDERS LSA (SURGICAL FIRST ASSISTANT)
(817) 714-9066
Entity
Organization
Contact information
Practice address
7309 WINDING WAY DR, ARLINGTON, TX 76001-2006
(817) 714-9066
Mailing address
7309 WINDING WAY DR, ARLINGTON, TX 76001-2006
(817) 714-9066
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
03/28/2020
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