Organization
SCOOBY'S SURGICAL ASSITING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KELLER (MANAGER)
(214) 564-7519
Entity
Organization
Contact information
Practice address
6 WIMBLEDON CT, HEATH, TX 75032-5998
(214) 564-7519
Mailing address
6 WIMBLEDON CT, HEATH, TX 75032-5998
(214) 564-7519
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
577758
TX
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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