Organization
TEXAS PROFESSIONAL FIRST ASSISTANCE,LLC
Active
Other names
Gulf Coast Surgical Assistants LCC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SHAWN DEHART CSFA (PRESIDENT)
(512) 557-6433
Entity
Organization
Contact information
Practice address
204 DEERCREEK LN, LEANDER, TX 78641-7819
(512) 557-6433
Mailing address
204 DEERCREEK LN, LEANDER, TX 78641-7819
(512) 557-6433
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
87458
TX
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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