Organization
SURGICALIST OF TX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIT DESAI M.D. (CEO)
(813) 530-5043
Entity
Organization
Contact information
Practice address
909 9TH AVE STE 205, FORT WORTH, TX 76104-3916
(972) 665-6501
(972) 866-4013
Mailing address
PO BOX 21647, TAMPA, FL 33622-1647
(813) 530-5043
(813) 866-1957
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
11/28/2022
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