Organization
PHYSICIANS SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KELLER (OWNER)
(214) 564-7519
Entity
Organization
Contact information
Practice address
6 WIMBLEDON CT, HEATH, TX 75032-5998
(469) 264-7248
Mailing address
PO BOX 495638, GARLAND, TX 75049-5638
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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