Healthcare Provider Details

I. General information

NPI: 1245832864
Provider Name (Legal Business Name): SURGERY COVERAGE TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 ALLEN ST # 331
DALLAS TX
75204-1031
US

IV. Provider business mailing address

2807 ALLEN ST # 331
DALLAS TX
75204-1031
US

V. Phone/Fax

Practice location:
  • Phone: 682-593-7771
  • Fax:
Mailing address:
  • Phone:
  • 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: ANNA WEIHS
Title or Position: COORDINATOR
Credential:
Phone: 682-593-7771