Organization
SOUTH ATLANTIC SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A ALEXANDER JR. MD (PRESIDENT)
(240) 997-4720
Entity
Organization
Contact information
Practice address
2709 HOSPITAL BLVD, SUITE 100, GRAND PRAIRIE, TX 75051-1017
(240) 997-4720
Mailing address
PO BOX 535698, GRAND PRAIRIE, TX 75053-5698
(240) 997-4720
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
L3096
TX
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208600000X
Surgery Physician
Primary
N7387
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
N6605
TX
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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