Healthcare Provider Details

I. General information

NPI: 1740772318
Provider Name (Legal Business Name): MEGA SURGICAL ASSISTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 VINETREE DR
ARLINGTON TX
76002-4537
US

IV. Provider business mailing address

8402 VINETREE DR
ARLINGTON TX
76002-4537
US

V. Phone/Fax

Practice location:
  • Phone: 254-458-7855
  • Fax:
Mailing address:
  • Phone: 254-458-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: KOJO ASARE
Title or Position: MANAGER
Credential: CSFA
Phone: 254-458-7855