Healthcare Provider Details

I. General information

NPI: 1740255025
Provider Name (Legal Business Name): AP SURGICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 W GOODWIN ST
PLEASANTON TX
78064-3804
US

IV. Provider business mailing address

1540 W GOODWIN ST
PLEASANTON TX
78064-3804
US

V. Phone/Fax

Practice location:
  • Phone: 830-569-2701
  • Fax: 830-569-2744
Mailing address:
  • Phone: 830-569-2701
  • Fax: 830-569-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MARIA A. PALAFOX
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 830-569-2701