Provider Demographics
NPI:1619591690
Name:EXPERT SURGICAL, PLLC
Entity Type:Organization
Organization Name:EXPERT SURGICAL, PLLC
Other - Org Name:THE BARIATRIC EXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-577-2090
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:TX
Mailing Address - Zip Code:76426-0552
Mailing Address - Country:US
Mailing Address - Phone:940-577-2090
Mailing Address - Fax:972-201-9667
Practice Address - Street 1:5575 WARREN PKWY STE 304
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4066
Practice Address - Country:US
Practice Address - Phone:940-577-2090
Practice Address - Fax:972-201-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty