Provider Demographics
NPI:1386182582
Name:ANTON SURGICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ANTON SURGICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES-QUAIDOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-452-7705
Mailing Address - Street 1:7557 RAMBLER RD STE 730
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2405
Mailing Address - Country:US
Mailing Address - Phone:214-452-7705
Mailing Address - Fax:
Practice Address - Street 1:7557 RAMBLER RD STE 730
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2405
Practice Address - Country:US
Practice Address - Phone:214-452-7705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty