Organization
SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ROGERS (BILLING MANAGER)
(214) 943-8605
Entity
Organization
Contact information
Practice address
221 W COLORADO BLVD, SUITE 100, DALLAS, TX 75208-2363
(214) 943-8605
(214) 942-8463
Mailing address
221 W COLORADO BLVD, SUITE 100, DALLAS, TX 75208-2363
(214) 943-8605
(214) 948-9846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E7053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020009489
RICHARD DICKERMAN
TX
01
—
020027451
MARTIN KOONSMAN
TX
05
—
097588001
—
TX
05
—
104687203
—
TX
05
—
118128101
—
TX
05
—
126263603
—
TX
05
—
144729404
—
TX
01
—
8U0030
DHIRESH ROHAN JEYARAJAH
TX
01
—
P00250455
DHIRESH ROHAN JEYARAJAH
TX
Enumeration date
05/26/2006
Last updated
12/09/2010
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