Llrac Surgical Associates, PLLC
Physician Assistant, Surgical in Coppell, TX. Organization (NPI-2).
NPI number1639614761
StatusActive
Last updated in NPPESDec 28, 2016
Details
- NPI
- 1639614761
- Entity type
- Organization (NPI-2)
- Legal business name
- Llrac Surgical Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2016
- Last updated
- Dec 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
8840 Cypress Waters BlvdSuite 190
Coppell, TX 75019-4594
Phone 214-370-3535 · Fax 214-370-0004
Mailing address
Po Box 206759Dallas, TX 75320-6759
Phone 214-370-3535 · Fax 214-370-0004
Authorized official
David McAlpin
Billing Manager
2143703535
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