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Organization

DARLA FIRST ASSIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARLA DENISE BOOTH LSA, CSFA (SURGICAL FIRST ASSIST)
(409) 963-8677
Entity
Organization

Contact information

Practice address
2356 ORCHID ST, PORT ARTHUR, TX 77640-1831
(409) 963-8677
Mailing address
2356 ORCHID ST, PORT ARTHUR, TX 77640-1831
(409) 963-8677

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00622
TX

Other

Enumeration date
10/24/2017
Last updated
10/30/2017
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