Organization
TEXAS PREMIERE SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY PHANSANA LSA (OWNER/MEMBER)
(817) 726-7644
Entity
Organization
Contact information
Practice address
4925 FLUSCHE CT, KELLER, TX 76244-1158
(817) 726-7644
Mailing address
4925 FLUSCHE CT, KELLER, TX 76244-1158
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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