Provider Demographics
NPI:1952657561
Name:FIRST ASSISTING SPECIALISTS OF TEXAS
Entity Type:Organization
Organization Name:FIRST ASSISTING SPECIALISTS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SEMYON
Authorized Official - Middle Name:
Authorized Official - Last Name:NAROSOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-702-9310
Mailing Address - Street 1:PO BOX 797604
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7604
Mailing Address - Country:US
Mailing Address - Phone:972-702-9310
Mailing Address - Fax:888-767-7517
Practice Address - Street 1:13601 PRESTON RD STE 575E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4975
Practice Address - Country:US
Practice Address - Phone:972-702-9310
Practice Address - Fax:888-767-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty