Organization
ELITE SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYNEDRA INEZ BRUMFIELD CST (OWNER)
(469) 693-1577
Entity
Organization
Contact information
Practice address
2652 LAKE RIDGE DR, LITTLE ELM, TX 75068-3400
(469) 693-1577
Mailing address
2652 LAKE RIDGE DR, LITTLE ELM, TX 75068-3400
(469) 693-1577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
133075
TX
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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