Provider Demographics
NPI:1346596079
Name:ROBOTIC AND SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:ROBOTIC AND SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:682-738-8079
Mailing Address - Street 1:2313 PARKHAVEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2014
Mailing Address - Country:US
Mailing Address - Phone:682-738-8079
Mailing Address - Fax:682-738-8079
Practice Address - Street 1:2313 PARKHAVEN DRIVE
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2014
Practice Address - Country:US
Practice Address - Phone:682-738-8079
Practice Address - Fax:682-738-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX631427163WR0006X
TXPA00025363AS0400X
TX363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3256273Medicaid
TXDU0666OtherRAILROAD MEDICARE
TX284037Medicare PIN