Organization
IDEAL ASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SILVA (PAMS NPI ADMINISTRATOR)
(210) 598-4287
Entity
Organization
Contact information
Practice address
3044 OLD DENTON RD, STE 111 #307, CARROLLTON, TX 75007-5074
(469) 283-0496
Mailing address
3044 OLD DENTON RD, STE 111 #307, CARROLLTON, TX 75007-5074
(469) 283-0496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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