Cutlass Surgical Associates MD PA
Surgery in Shady Shores, TX. Organization (NPI-2).
NPI number1407410079
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1407410079
- Entity type
- Organization (NPI-2)
- Legal business name
- Cutlass Surgical Associates MD PA
- Organization subpart
- No
- Enumeration date
- Apr 29, 2019
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
208 Lakeshore RdShady Shores, TX 76208-5012
Phone 214-558-9439 · Fax 214-206-1489
Mailing address
208 Lakeshore RdShady Shores, TX 76208-5012
Phone 214-558-9439 · Fax 214-206-1489
Authorized official
Steven Maskal
President
2145589439
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