Organization
ASSISTANT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BROCK (MANAGING PARTNER)
(469) 250-4422
Entity
Organization
Contact information
Practice address
1202 E ARAPAHO RD STE 122, RICHARDSON, TX 75081-2477
(469) 250-4422
(469) 250-7068
Mailing address
1202 E ARAPAHO RD STE 122, RICHARDSON, TX 75081-2477
(469) 250-4422
(469) 250-7068
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
06/16/2018
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