Organization
SURG-ASIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA DENISE BITTICK (JANA BITTICK RNFA)
(817) 456-7754
Entity
Organization
Contact information
Practice address
1286 COUNTY ROAD 2788, ALVORD, TX 76225-3355
(817) 456-7754
Mailing address
1286 COUNTY ROAD 2788, ALVORD, TX 76225-3355
(817) 456-7754
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
524764
TX
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
Update your record
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