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Organization

DFW SURGERY ASSISTANTS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY HUBBARD M.D. (PLASTIC SURGEON)
(214) 370-4813
Entity
Organization

Contact information

Practice address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 370-4813
(469) 375-3844
Mailing address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5956
(214) 370-4813
(469) 375-3844

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
155941
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124119854
NPI
TX
01
1154710481
NPI
TX
Enumeration date
01/26/2015
Last updated
01/26/2015
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