Provider Demographics
NPI:1982112074
Name:THE SURGEONS ADVANTAGE, PLLC
Entity Type:Organization
Organization Name:THE SURGEONS ADVANTAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:DENISE-DOLLIOLE
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:469-207-6425
Mailing Address - Street 1:8420 OLD HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3061
Mailing Address - Country:US
Mailing Address - Phone:469-207-6425
Mailing Address - Fax:
Practice Address - Street 1:8420 OLD HICKORY LN
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3061
Practice Address - Country:US
Practice Address - Phone:469-207-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX808072163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX808072OtherTEXAS BOARD OF NURSING