Healthcare Provider Details

I. General information

NPI: 1316353493
Provider Name (Legal Business Name): FM SURGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W LBJ FWY SUITE 330
IRVING TX
75063-3718
US

IV. Provider business mailing address

PO BOX 2065
HOUSTON TX
77252-2065
US

V. Phone/Fax

Practice location:
  • Phone: 972-556-2885
  • Fax: 817-527-8480
Mailing address:
  • Phone: 800-785-8765
  • Fax: 281-820-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. PARIND PATEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-306-8065