MEDICARE: FIRST ASSISTANTS & ASSOCIATES

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	364SM0705X	Medical-Surgical Clinical Nurse Specialist	238441	TX

General Provider Information

NPI Number	:	1578831186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ASSISTANTS & ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 938
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75030-0938
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	972-463-7247

Provider Business Practice Location Address
First Line	:	5024 MEADOWBROOK DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76103-3423
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	972-463-7247

Authorized Official
Title or Position	:	PROVIDER
Name	:	MRS. SANDRA BUCKMASTER-BARBER
Credential	:	RNFA
Telephone Number	:	214-227-2457

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	12/09/2011

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