Organization
LAS COLINAS SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L MASKAL MD (PRESIDENT)
(214) 558-9439
Entity
Organization
Contact information
Practice address
1 MEDICAL PKWY, STE 105, DALLAS, TX 75234-7841
(214) 558-9439
(214) 206-1489
Mailing address
PO BOX 630372, IRVING, TX 75063-0372
(214) 558-9439
(214) 206-1489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L1383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00084T
MEDICARE GROUP ID NUMBER
TX
Enumeration date
08/05/2007
Last updated
12/19/2008
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