Provider Demographics
NPI:1770105504
Name:DFW ADVANCED SURGICAL CARE PLLC
Entity type:Organization
Organization Name:DFW ADVANCED SURGICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-881-8416
Mailing Address - Street 1:2608 STONE HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-5555
Mailing Address - Country:US
Mailing Address - Phone:817-881-8416
Mailing Address - Fax:
Practice Address - Street 1:909 9TH AVE STE 401
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3918
Practice Address - Country:US
Practice Address - Phone:817-332-0786
Practice Address - Fax:817-332-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty