| Organization Name: | NORTH TEXAS PRO SURGICAL ASSIST, LLC |
| NPI Number: | 1023385564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA LESLIE (PRESIDENT) |
| Mailing Address: | 2809 Branch Oaks Dr Mckinney |
| State: | TX US |
| Postal Code: | 750708775 |
| Phone Number: | 2142272457 |
| Fax Number: | 9724637247 |
| NPI Enumeration Date: | 11/29/2011 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | 688246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |