Provider Demographics
NPI:1164876686
Name:SURGICAL ASSISTANTS IN NORTH TEXAS
Entity Type:Organization
Organization Name:SURGICAL ASSISTANTS IN NORTH TEXAS
Other - Org Name:SAINT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-485-5100
Mailing Address - Street 1:8840 CYPRESS WATERS
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4621
Mailing Address - Country:US
Mailing Address - Phone:817-485-5100
Mailing Address - Fax:
Practice Address - Street 1:5005 W ROYAL LN
Practice Address - Street 2:SUITE 196
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1996
Practice Address - Country:US
Practice Address - Phone:817-485-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty