Organization · NPI-2

A G Surgical

Surgery · Dallas, TX

NPI number1093280703
StatusActive
Last updated in NPPESOct 9, 2018

Details

NPI
1093280703
Entity type
Organization (NPI-2)
Legal business name
A G Surgical
Organization subpart
No
Enumeration date
Oct 9, 2018
Last updated
Oct 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

7777 Forest Ln
Dallas, TX 75230-2571

Phone 972-789-5539

Mailing address

7777 Forest Ln
Dallas, TX 75230-2571

Phone 972-789-5539

Authorized official

Andre Dean Graham
Surgeon
9723516830

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