MEDICARE: SURGERY COVERAGE TEXAS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1245832864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGERY COVERAGE TEXAS PLLC

Provider Business Mailing Address
First Line	:	2807 ALLEN ST # 331
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1031
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 ALLEN ST # 331
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1031
Country	:	US
Telephone Number	:	682-593-7771
Fax Number	:

Authorized Official
Title or Position	:	COORDINATOR
Name	:	ANNA WEIHS
Credential	:
Telephone Number	:	682-593-7771

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	03/01/2021

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