Organization
NORTH TEXAS SURGICAL ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE LARA (OFFICE ADMINISTRATOR)
(832) 344-6916
Entity
Organization
Contact information
Practice address
1194 OVERLAND DRIVE, BURLESON, TX 76028-9999
(682) 583-1469
Mailing address
1194 OVERLAND DRIVE, BURLESON, TX 76028-0000
(682) 583-1469
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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