Organization
SQUIRE SURGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LOWE (BILLING MANAGER)
(817) 683-5826
Entity
Organization
Contact information
Practice address
2004 VAIL RD, SOUTHLAKE, TX 76092-3849
(817) 683-5826
Mailing address
2004 VAIL RD, SOUTHLAKE, TX 76092-3849
(817) 683-5826
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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