Organization
SURGICAL SPECIALISTS OF SOUTH DALLAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL L POWELL MD (OWNER)
(972) 216-9511
Entity
Organization
Contact information
Practice address
3430 W WHEATLAND RD, SUITE 407, DALLAS, TX 75237-3446
(972) 216-9511
Mailing address
3430 W WHEATLAND RD, SUITE 407, DALLAS, TX 75237-3446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
612049
TX
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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