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General NPI Number Information
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NPI Number | 1831625292
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS SURGICAL SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 800 8TH AVE STE: 616
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City | FORT WORTH
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State | TX
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Zip | 76104-2601
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Country | US
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Telephone | 847-477-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 800 8TH AVE. SUITE 306
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 682-224-3748
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Fax |
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Authorized Official
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Title or Position | MANAGER PLLC
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Name | DR. JAY PATEL
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Credential | D.O.
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Telephone | 682-224-3748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | P9933
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License Number State | TX
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