Surgical Resolutions PLLC
Surgery in Desoto, TX. Organization (NPI-2).
NPI number1639312895
StatusActive
Last updated in NPPESJun 16, 2009
Details
- NPI
- 1639312895
- Entity type
- Organization (NPI-2)
- Legal business name
- Surgical Resolutions PLLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2009
- Last updated
- Jun 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | J3706 | TX | Yes |
Practice location
921 York DrDesoto, TX 75115-2043
Phone 972-283-2244 · Fax 972-283-2246
Mailing address
921 York DrDesoto, TX 75115-2043
Phone 972-283-2244 · Fax 972-283-2246
Authorized official
Kevin Wayne Niblett
Physician
9722832244
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