Organization
MICHAEL A. ELLER SURGICAL ASSISTANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A ELLER SA (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1386 BROAD VALLEY CT, BURLESON, TX 76028-6502
(214) 227-2457
(972) 463-7247
Mailing address
1386 BROAD VALLEY CT, BURLESON, TX 76028-6502
(214) 227-2457
(972) 463-7247
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
SA00012
TX
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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