MEDICARE: DFW SURGICAL PARTNERS INC

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	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician
2	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1588435630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DFW SURGICAL PARTNERS INC

Provider Business Mailing Address
First Line	:	17110 DALLAS PKWY STE 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1146
Country	:	US
Telephone Number	:	972-483-5714
Fax Number	:

Provider Business Practice Location Address
First Line	:	17177 PRESTON RD STE 180
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1235
Country	:	US
Telephone Number	:	972-483-5714
Fax Number	:	469-331-0097

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOACHIM FIIHR
Credential	:
Telephone Number	:	469-667-6122

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/09/2024

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Directions to “DFW SURGICAL PARTNERS INC ” Practice Location

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