Provider Demographics
NPI:1063025039
Name:DFW ADVANCED SURGICAL GROUP
Entity Type:Organization
Organization Name:DFW ADVANCED SURGICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-332-0788
Mailing Address - Street 1:PO BOX 120969
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-0969
Mailing Address - Country:US
Mailing Address - Phone:817-332-0788
Mailing Address - Fax:
Practice Address - Street 1:909 9TH AVE STE 401
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3918
Practice Address - Country:US
Practice Address - Phone:817-332-0788
Practice Address - Fax:817-332-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty