Provider Demographics
NPI:1215342092
Name:WLS SURGICAL ASSOCIATES OF TEXAS PLLC
Entity type:Organization
Organization Name:WLS SURGICAL ASSOCIATES OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-823-5000
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE C-400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:214-823-5000
Mailing Address - Fax:214-824-7167
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE C-400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:214-823-5000
Practice Address - Fax:214-824-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8225174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty