Organization
NORTH DALLAS SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY VACENDAK (OFFICE MANAGER)
(972) 487-6400
Entity
Organization
Contact information
Practice address
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686
Mailing address
3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080799202
—
TX
Enumeration date
06/30/2006
Last updated
03/07/2022
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