Organization
DALLAS SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SIVARAMAN (BILLING MANAGER)
(214) 618-5600
Entity
Organization
Contact information
Practice address
5666 W MAIN ST, FRISCO, TX 75034
(214) 618-5600
(214) 618-7733
Mailing address
PO BOX 670531, DALLAS, TX 75367-0531
(214) 618-5600
(214) 618-7733
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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