Provider Demographics
NPI:1568748804
Name:TEXAS SURGICAL SOLUTIONS,LLC
Entity Type:Organization
Organization Name:TEXAS SURGICAL SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIZAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-591-4184
Mailing Address - Street 1:13601 PRESTON RD
Mailing Address - Street 2:SUITE 415W
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240
Mailing Address - Country:US
Mailing Address - Phone:301-591-4184
Mailing Address - Fax:214-276-1359
Practice Address - Street 1:13601 PRESTON RD
Practice Address - Street 2:SUITE 415W
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:301-591-4184
Practice Address - Fax:214-276-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8610174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty