Provider Demographics
NPI:1417316290
Name:LYNX SURGICAL LLC.
Entity Type:Organization
Organization Name:LYNX SURGICAL LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIHAIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILVES
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:972-795-3252
Mailing Address - Street 1:PO BOX 803502
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-3502
Mailing Address - Country:US
Mailing Address - Phone:972-795-3252
Mailing Address - Fax:
Practice Address - Street 1:41 REMINGTON DR W
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-4005
Practice Address - Country:US
Practice Address - Phone:972-795-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154012246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty