Provider Demographics
NPI:1104950443
Name:A AND M SURGERY CENTER RLLP
Entity type:Organization
Organization Name:A AND M SURGERY CENTER RLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EXLINE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-6988
Mailing Address - Street 1:7777 FOREST LN STE C637
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6869
Mailing Address - Country:US
Mailing Address - Phone:972-566-6988
Mailing Address - Fax:972-566-6108
Practice Address - Street 1:7777 FOREST LN STE C637
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6869
Practice Address - Country:US
Practice Address - Phone:972-566-6988
Practice Address - Fax:972-566-6108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty