Organization
HEART OF TEXAS SURGICAL ASSISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARIE STANFORD CSFA (OWNER)
(254) 424-5231
Entity
Organization
Contact information
Practice address
272 N AVENUE E, CRAWFORD, TX 76638-3242
(254) 424-5231
Mailing address
272 N AVE E, CRAWFORD, TX 76638
(254) 424-5231
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
04/28/2022
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