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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