Organization
ANSURIO EXCEED ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSURIO CARDONA JR. LSA (PRES)
(214) 208-6286
Entity
Organization
Contact information
Practice address
11800 HORSESHOE RIDGE DR, FORT WORTH, TX 76244-4892
(214) 208-6286
Mailing address
PO BOX 77934, FORT WORTH, TX 76177-0934
(214) 208-6286
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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