Healthcare Provider Details

I. General information

NPI: 1942908611
Provider Name (Legal Business Name): DRS LSA OF TEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W PARKER RD
PLANO TX
75093-8185
US

IV. Provider business mailing address

3308 PRESTON RD STE 350
PLANO TX
75093-7471
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • 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: MS. DONNA RACHELLE SMITH
Title or Position: LICENSED SURGICAL ASSISTANT
Credential: LSA
Phone: 214-227-2457