Organization
SURGICAL PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL ANGOBALDO (MANAGER)
(972) 378-3870
Entity
Organization
Contact information
Practice address
5880 ASHMILL DR STE 200, PLANO, TX 75024-0031
(972) 439-7189
(972) 378-7977
Mailing address
5880 ASHMILL DR STE 200, PLANO, TX 75024-0031
(972) 439-7189
(972) 378-7977
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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