Provider Demographics
NPI:1386100824
Name:ADVANCED SURGICAL SERVICES OF TEXAS
Entity type:Organization
Organization Name:ADVANCED SURGICAL SERVICES OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-716-0036
Mailing Address - Street 1:5960 W PARKER RD STE 278
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7792
Mailing Address - Country:US
Mailing Address - Phone:214-716-0036
Mailing Address - Fax:469-617-2359
Practice Address - Street 1:3108 MIDWAY RD STE 204
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1615
Practice Address - Country:US
Practice Address - Phone:214-716-0036
Practice Address - Fax:469-617-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty