Organization
PREMIER SURGICAL SPECIALTIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA KADANE (REGISTERED AGENT)
(214) 373-9092
Entity
Organization
Contact information
Practice address
7300 EL DORADO PARKWAY, SUITE 260, MCKINNEY, TX 75070-3826
(972) 747-0440
(972) 747-0441
Mailing address
PO BOX 803091, DALLAS, TX 75380-3091
(972) 747-0440
(972) 747-0441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/29/2019
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