Organization
117 SURGICAL ASSISTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C NEFF (DIRECTOR)
(817) 485-5100
Entity
Organization
Contact information
Practice address
8840 CYPRESS WATERS BLVD STE 190, COPPELL, TX 75019-4621
(817) 485-5100
Mailing address
8840 CYPRESS WATERS BLVD STE 190, COPPELL, TX 75019-4621
(817) 485-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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