Organization
METROPLEX SURGICAL PHYSICIANS ASSISTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J COTTRELL MD (OWNER)
(214) 709-7562
Entity
Organization
Contact information
Practice address
2937 LAGO VISTA LN, ROCKWALL, TX 75032-5466
(214) 709-7562
Mailing address
2937 LAGO VISTA LN, ROCKWALL, TX 75032-5466
(214) 709-7562
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972110971
NPI
TX
Enumeration date
08/18/2021
Last updated
12/06/2021
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