Organization
COLLABORATIVE FIRST ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA R TIFFANY-HARROD LSA (PRESIDENT)
(260) 404-4905
Entity
Organization
Contact information
Practice address
2604 LEICESTER DR, CARROLLTON, TX 75006-2179
(260) 409-4905
(214) 279-9499
Mailing address
PO BOX 700715, DALLAS, TX 75370-0715
(260) 409-4905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
07/14/2024
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