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Jmc Professional Surgical Associate, PLLC

Registered Nurse, Registered Nurse First Assistant in Tyler, TX. Organization (NPI-2).

NPI number1760831770
StatusActive
Last updated in NPPESJan 25, 2017

Details

NPI
1760831770
Entity type
Organization (NPI-2)
Legal business name
Jmc Professional Surgical Associate, PLLC
Organization subpart
No
Enumeration date
Jun 9, 2016
Last updated
Jan 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant521694TXYes

Practice location

3808 Scenic Dr
Tyler, TX 75709-5402

Phone 888-322-6432 · Fax 888-329-6432

Mailing address

Po Box 8943
Tyler, TX 75711-8943

Phone 888-322-6432 · Fax 888-329-6432

Authorized official

Julie Conley
Owner
8883226432

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