Organization
SURGIPRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANDREW LAURENCE PA-C (PRESIDENT)
(817) 723-8390
Entity
Organization
Contact information
Practice address
2020 LAWNDALE DR, IRVING, TX 75063-3913
(817) 723-8390
(214) 242-9111
Mailing address
2020 LAWNDALE DR, IRVING, TX 75063-3913
(817) 723-8390
(214) 242-9111
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04581
TX
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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