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Organization

PROASSIST SURGICAL ASSOCIATE

Active
Parent organization
LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LLC
Authorized official
ONICHAMAKA LSABELLA OJIRIKA (SURGICAL FIRST ASSIST)
(214) 536-7913
Entity
Organization

Contact information

Practice address
7801 ALMA DR STE 105, PLANO, TX 75025-3483
(214) 714-7010
Mailing address
7801 ALMA DR STE 105, PLANO, TX 75025-3483
(214) 714-7010

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
N/A

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
246ZS0400X
TECHNOLOGIST & SURGICAL
TX
Enumeration date
02/03/2010
Last updated
02/03/2010
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