Provider Demographics
NPI:1629234927
Name:CFA SERVICES
Entity Type:Organization
Organization Name:CFA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CST CFA
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:COSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-428-7353
Mailing Address - Street 1:5812 STORM DR
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2636
Mailing Address - Country:US
Mailing Address - Phone:817-773-4540
Mailing Address - Fax:817-428-7353
Practice Address - Street 1:5812 STORM DR
Practice Address - Street 2:
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2636
Practice Address - Country:US
Practice Address - Phone:817-773-4540
Practice Address - Fax:817-428-7353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty