Organization
NORTH TEXAS SURGICAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY PATEL D.O. (MANAGER PLLC)
(682) 224-3748
Entity
Organization
Contact information
Practice address
800 8TH AVE, STE: 616, FORT WORTH, TX 76104-2601
(847) 477-7233
Mailing address
800 8TH AVE., SUITE 306, FORT WORTH, TX 76104
(682) 224-3748
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P9933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383433YSE6
TPAN OR MEDICARE
TX
05
—
3Y6452101
—
TX
Enumeration date
05/04/2017
Last updated
10/21/2022
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