Organization
DYNAMIC SURGICAL ASSISTANTS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WILSON LSA (LICENSED SURGICAL ASSISTANT)
(281) 509-2017
Entity
Organization
Contact information
Practice address
2503 ROBIN KNOLL CT, FRESNO, TX 77545-8167
(281) 509-2017
Mailing address
2503 ROBIN KNOLL CT, FRESNO, TX 77545-8167
(281) 509-2017
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00410
TX
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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