Dynamic Surgical Assistants Of Texas
Specialist/Technologist, Other, Surgical Assistant in Fresno, TX. Organization (NPI-2).
NPI number1114479466
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1114479466
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Surgical Assistants Of Texas
- Organization subpart
- No
- Enumeration date
- Nov 2, 2016
- Last updated
- Nov 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00410 | TX | Yes |
Practice location
2503 Robin Knoll CtFresno, TX 77545-8167
Phone 281-509-2017
Mailing address
2503 Robin Knoll CtFresno, TX 77545-8167
Phone 281-509-2017
Authorized official
Keith Wilson
Licensed Surgical Assistant
2815092017
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