| Organization Name: | DFW SURGICAL SOLUTIONS LLC |
| NPI Number: | 1033397062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKIE DEAN BONNER (OWNER/MEMBER) |
| Mailing Address: | 2521 Lone Star Ln Grapevine |
| State: | TX US |
| Postal Code: | 760514535 |
| Phone Number: | 8174801800 |
| Fax Number: | 8172510205 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | 537082/686090 |
| 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: | |