Provider Demographics
NPI:1124616628
Name:SURGICAL FIRST ASSIST LLC
Entity type:Organization
Organization Name:SURGICAL FIRST ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE SURGICAL FIRST ASSIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:PIRNAJMEDIN
Authorized Official - Suffix:
Authorized Official - Credentials:LSFA
Authorized Official - Phone:972-966-9910
Mailing Address - Street 1:112 RUSTIC OAK LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-8498
Mailing Address - Country:US
Mailing Address - Phone:940-536-3551
Mailing Address - Fax:
Practice Address - Street 1:112 RUSTIC OAK LN
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-8498
Practice Address - Country:US
Practice Address - Phone:940-536-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-10
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service