Organization
WHITECOAT ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROD ROOT OPA-C (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1901 LONG PRAIRIE RD, SUITE 220-80, FLOWER MOUND, TX 75022-4246
(214) 227-2457
(214) 764-0880
Mailing address
1901 LONG PRAIRIE RD, SUITE 220-80, FLOWER MOUND, TX 75022-4246
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1154
TX
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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