Organization
DFW SURGICAL ASSOCIATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERLY MILLER (REVENUE CYCLE MANAGER)
(210) 996-6363
Entity
Organization
Contact information
Practice address
3200 N TARRANT PKWY, FORT WORTH, TX 76177-8611
(210) 966-6363
Mailing address
PO BOX 93924, SOUTHLAKE, TX 76092-0119
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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