Organization · NPI-2

Ereiv Surgical Associates, PLLC

Physician Assistant, Surgical · Coppell, TX

NPI number1003351131
StatusActive
Last updated in NPPESDec 28, 2016

Details

NPI
1003351131
Entity type
Organization (NPI-2)
Legal business name
Ereiv Surgical Associates, PLLC
Organization subpart
No
Enumeration date
Dec 28, 2016
Last updated
Dec 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes

Practice location

8840 Cypress Waters Blvd
Suite 190
Coppell, TX 75019-4594

Phone 214-370-3535 · Fax 214-370-0004

Mailing address

Po Box 206747
Dallas, TX 75320-6747

Phone 214-370-3535 · Fax 214-370-0004

Authorized official

David Mcalpin
Billing Manager
2143703535

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant, Surgical providers in Coppell, TX