Organization
SURGIMD DX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISAMARIE PARTRIDGE CMC, CMRS (DELIGATED OFFICIAL)
(972) 412-5299
Entity
Organization
Contact information
Practice address
5001 ROWLETT RD STE 301, ROWLETT, TX 75088-3602
(972) 412-5299
Mailing address
PO BOX 1373, ROWLETT, TX 75030-1373
(972) 412-5299
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
246ZC0007X
Surgical Assistant
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
Other
Enumeration date
12/09/2025
Last updated
01/06/2026
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