Provider Demographics
NPI:1205955325
Name:PSFA, INC
Entity type:Organization
Organization Name:PSFA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:POLLY
Authorized Official - Middle Name:MCPHAIL
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:972-931-6204
Mailing Address - Street 1:6438 LA MANGA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2942
Mailing Address - Country:US
Mailing Address - Phone:972-931-6204
Mailing Address - Fax:972-931-6033
Practice Address - Street 1:6438 LA MANGA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2942
Practice Address - Country:US
Practice Address - Phone:972-931-6204
Practice Address - Fax:972-931-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55342163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty