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Organization

EXEMPLIFY SURGICAL FIRST ASSISTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARVIN MATTHEW WALKER JR. CST (OWNER)
(214) 546-2320
Entity
Organization

Contact information

Practice address
3033 BARDIN RD, 1011, GRAND PRAIRIE, TX 75052-3858
(214) 546-2320
(214) 518-6742
Mailing address
PO BOX 225466, DALLAS, TX 75222-5466
(214) 546-2320
(214) 518-6742

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary

Other

Enumeration date
10/30/2015
Last updated
10/30/2015
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