Alliance Surgical Associates PLLC
in Irving, TX. Organization (NPI-2).
NPI number1942994876
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1942994876
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Surgical Associates PLLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes | |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Practice location
400 E Royal LaneBldg 3, Suite 290
Irving, TX 75039
Phone 817-658-5106
Mailing address
400 East Royal LaneBuilding 3, Suite #290
Irving, TX 75039
Authorized official
Bradley Cubitt
President & Owner
8176585106
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