Organization Name: | SPECIALTY SURGICAL SERVICES PLLC |
NPI Number: | 1073929576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PARIND PATEL (ADMINISTRATOR) |
Mailing Address: | 910 E Southlake Blvd 155 Southlake |
State: | TX US |
Postal Code: | 760926388 |
Phone Number: | 9725562885 |
Fax Number: | 8175278480 |
NPI Enumeration Date: | 07/03/2014 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |