Individual
STEVE GLENN SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 WOODARD AVE, SUITE 209, CLEBURNE, TX 76033-7051
(817) 641-2020
(817) 641-2035
Mailing address
1665 WOODARD AVE, SUITE 209, CLEBURNE, TX 76033-7051
(817) 641-2020
(817) 641-2035
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G8983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079888601
—
TX
Enumeration date
04/03/2006
Last updated
03/09/2015
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