Lonestar Surgical Professionals LLC
Specialist/Technologist, Other, Surgical Assistant in Weatherford, TX. Organization (NPI-2).
NPI number1356861157
StatusActive
Last updated in NPPESJun 22, 2017
Details
- NPI
- 1356861157
- Entity type
- Organization (NPI-2)
- Legal business name
- Lonestar Surgical Professionals LLC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2017
- Last updated
- Jun 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
212 Joyce StWeatherford, TX 76085-9524
Phone 602-708-2493
Mailing address
Po Box 2405Weatherford, TX 76086-7405
Phone 602-708-2493
Authorized official
Crystalrae Coddington Mcpherson
Owner
6027082493
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