Organization
SURGICAL ALLIANCE II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NORTHCUTT (MANAGING MEMBER)
(817) 379-5600
Entity
Organization
Contact information
Practice address
1052 SUMMERPLACE LN, SOUTHLAKE, TX 76092-5120
(817) 379-5600
Mailing address
PO BOX 93150, SOUTHLAKE, TX 76092-1150
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
605077
TX
Other
Enumeration date
01/22/2015
Last updated
09/11/2017
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