Organization
ADDISON SURGICAL SERVICES, PLLC
Active
Organization
ADDISON SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PARK MD (PRESIDENT)
(214) 370-3535
Entity
Organization
Contact information
Practice address
17051 DALLAS PKWY STE 400, ADDISON, TX 75001-7108
(214) 370-3535
Mailing address
PO BOX 8308, SPRING, TX 77387-8308
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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