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Organization

OPTIMAL FIRST ASSISTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WILSON (LSA)
(214) 227-2457
Entity
Organization

Contact information

Practice address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033
(214) 227-2457
(214) 764-0888
Mailing address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary

Other

Enumeration date
08/04/2014
Last updated
11/21/2023
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