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Organization

SURGICAL MASTERS FIRST ASSISTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY JOSEPH PORRATA LSA (OWNER)
(214) 227-2457
Entity
Organization

Contact information

Practice address
2708 MAPLE BROOK CT, BEDFORD, TX 76021-7212
(817) 313-6419
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
07/16/2018
Last updated
12/13/2024
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