ELITE PA SURGICAL ASSISTS, PLLC

SOUTHLAKE, TX
NPI1346767431
Entity TypeOrganization
Authorized ContactPAULINA PURNAMA
Owner
469-708-3989
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TX  TX11021)
Enumeration Date2017-08-29
Last Update Date2022-07-21
Business Address
ELITE PA SURGICAL ASSISTS, PLLC
2600 E SOUTHLAKE BLVD STE 120-177
SOUTHLAKE, TX 76092-6634
Phone number: 469-708-3989
Mailing Address
ELITE PA SURGICAL ASSISTS, PLLC
2600 E SOUTHLAKE BLVD STE 120-177
SOUTHLAKE, TX 76092-6634
Phone number: 469-708-3989
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