TEXAS SURGICAL ALLY (NPI# 1447789896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447789896 |
| Entity Type | Organization |
| Organization Name | TEXAS SURGICAL ALLY |
| Practice Address |
6677 Friendsway Dr Fort Worth TX 76137 |
| Mailing Address |
6677 Friendsway Dr Fort Worth TX 76137-7541 |
| Practice Telephone | (832) 457-8868 |
| Mailing Telephone | 8324578868 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | MS. JAMIE BURK (OWNER) |
| Authorized Official Telephone | 8324578868 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00468 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0089YL | 01 |
| Street Address |
6677 FRIENDSWAY DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| 1528333044 | Enrique Illingworth | Social Worker | 2700 Meacham Blvd, Suite 100, Fort Worth, TX 76137 | 2012-03-16 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1205299138 | Trasimeno, LLC | Physician Assistant | 9800 Sinclair St, Fort Worth, TX 76244-5890 | 2016-03-29 |
| 1770974727 | Melvin Johnson | Physician Assistant | 1016 Grand National Blvd, Fort Worth, TX 76179-2336 | 2015-02-12 |
| 1780924415 | Erica Valenzuela | Physician Assistant | 521 Darlington Trl, Fort Worth, TX 76131-3541 | 2013-02-16 |
| 1871746230 | Ansurio Cardona Jr. | Physician Assistant | 11800 Horseshoe Ridge Dr, Fort Worth, TX 76244-4892 | 2008-10-29 |
| 1548481781 | Henry Lee Collins | Physician Assistant | 2713 Clovermeadow Dr, Fort Worth, TX 76123-2107 | 2007-05-02 |
| 1376583906 | Stephanie Lynn Curtis | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2006-06-08 |
| 1992774103 | Sarah Rodriguez | Physician Assistant | 3637 Bellaire Dr S, Fort Worth, TX 76109-2135 | 2006-03-17 |
| 1811597321 | Kathryn Varano | Physician Assistant | 1250 8th Ave, Fort Worth, TX 76104-4124 | 2020-10-26 |
| 1558990903 | Ansurio Exceed Associates Inc. | Physician Assistant | 11800 Horseshoe Ridge Dr, Fort Worth, TX 76244-4892 | 2020-04-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on TEXAS SURGICAL ALLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.