Provider Demographics
NPI:1982666251
Name:SUREL, MARIA THERESA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:THERESA
Last Name:SUREL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 MILLPOND DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3080
Mailing Address - Country:US
Mailing Address - Phone:214-385-1728
Mailing Address - Fax:
Practice Address - Street 1:1815 N HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2327
Practice Address - Country:US
Practice Address - Phone:972-709-2828
Practice Address - Fax:972-223-3132
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608769363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care