Organization
SURGICAL ASSISTANTS OF TARRANT COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY MELISSA CRISAFI CSFA (SOLE PROPRIETOR)
(617) 817-7444
Entity
Organization
Contact information
Practice address
2661 BERKSHIRE LN, GRAND PRAIRIE, TX 75052-3815
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/31/2021
Last updated
02/15/2022
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