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Organization

NEUROSURGICAL PAS OF NORTH TEXAS, PA

Active
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Organization

NEUROSURGICAL PAS OF NORTH TEXAS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH KEITH PRESTON MD (OWNER)
(972) 377-9200
Entity
Organization

Contact information

Practice address
4461 COIT RD., SUITE 405, FRISCO, TX 75035
(972) 377-9200
(972) 377-9300
Mailing address
4461 COIT RD., SUITE 405, FRISCO, TX 75035
(972) 377-9200
(972) 377-9300

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA05731
TX
363AS0400X
Surgical Physician Assistant
PA06349
TX
363AS0400X
Surgical Physician Assistant
Primary
PA07007
TX
363AS0400X
Surgical Physician Assistant
PA07772
TX

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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