Preston Surgical Assist
Physician Assistant in Plano, TX. Organization (NPI-2).
NPI number1629672001
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1629672001
- Entity type
- Organization (NPI-2)
- Legal business name
- Preston Surgical Assist
- Organization subpart
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1705 Ohio Dr Ste 300Plano, TX 75093-5258
Phone 713-589-8606
Mailing address
Po Box 8219The Woodlands, TX 77387-8219
Phone 713-589-8606
Authorized official
Stephen Courtney
Owner
7135898606
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