Organization
JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CONLEY RNFA (OWNER)
(888) 322-6432
Entity
Organization
Contact information
Practice address
3808 SCENIC DR, TYLER, TX 75709-5402
(888) 322-6432
(888) 329-6432
Mailing address
PO BOX 8943, TYLER, TX 75711-8943
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
521694
TX
Other
Enumeration date
06/09/2016
Last updated
01/25/2017
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