Organization
PROFESSIONAL ASSISTANT SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GREENBERG MD (OFFICER)
(214) 306-8065
Entity
Organization
Contact information
Practice address
400 W LBJ FWY, SUITE 330, IRVING, TX 75063-3718
(214) 306-8065
(972) 506-8733
Mailing address
400 W LBJ FWY, SUITE 330, IRVING, TX 75063-3718
(214) 306-8065
(972) 506-8733
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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