Organization
VEGA SURGASSIST, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY WON (MANAGER)
(972) 880-2684
Entity
Organization
Contact information
Practice address
4301 N MACARTHUR BLVD, SUITE 203, IRVING, TX 75038-6497
(972) 255-5588
Mailing address
10455 N CENTRAL EXPY, SUITE 109-324, DALLAS, TX 75231-2213
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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