Provider Demographics
NPI:1326338427
Name:OFFICE SURGERY SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:OFFICE SURGERY SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-369-3030
Mailing Address - Street 1:4347 W NORTHWEST HWY STE 120-262
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3864
Mailing Address - Country:US
Mailing Address - Phone:888-559-2666
Mailing Address - Fax:903-454-2257
Practice Address - Street 1:4347 W NORTHWEST HWY STE 120-262
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3864
Practice Address - Country:US
Practice Address - Phone:888-559-2666
Practice Address - Fax:903-454-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty