| NPI | 1932517307 |
|---|---|
| Doing Business As | SOCO SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D WILSON Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 2541) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2022-08-02 |