Organization Name: | TC SURGICAL, INC. |
NPI Number: | 1093932964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLON KLOPFENSTEIN (PRESIDENT) |
Mailing Address: | 8412 Park Brook Ct North Richland Hills |
State: | TX US |
Postal Code: | 761800901 |
Phone Number: | 8176908708 |
Fax Number: | 8175775793 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | SA00014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |