Provider Demographics
NPI:1427309145
Name:SURGICAL SPECIALISTS OF NORTH TEXAS, PA
Entity type:Organization
Organization Name:SURGICAL SPECIALISTS OF NORTH TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:B
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-747-0440
Mailing Address - Street 1:7300 ELDORADO PKWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7891
Mailing Address - Country:US
Mailing Address - Phone:972-747-0440
Mailing Address - Fax:972-747-0441
Practice Address - Street 1:7300 ELDORADO PKWY
Practice Address - Street 2:SUITE 260
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7891
Practice Address - Country:US
Practice Address - Phone:972-747-0440
Practice Address - Fax:972-747-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4052208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty