MEDICARE: ASSISTING CONCEPTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1154095511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTING CONCEPTS

Provider Business Mailing Address
First Line	:	PO BOX 2550
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75030-2550
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Provider Business Practice Location Address
First Line	:	5808 MANHATTAN DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-7613
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Authorized Official
Title or Position	:	CEO
Name	:	JUAN C GRANADOS
Credential	:	LSA
Telephone Number	:	214-227-2457

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	06/27/2022

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Directions to “ASSISTING CONCEPTS ” Practice Location

Language	Start Address	Practice Location

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