MEDICARE: DALLAS SURGICAL ASSISTANCE

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	163WR0006X	Registered Nurse First Assistant

General Provider Information

NPI Number	:	1285910885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS SURGICAL ASSISTANCE

Provider Business Mailing Address
First Line	:	PO BOX 670531
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75367-0531
Country	:	US
Telephone Number	:	214-618-5600
Fax Number	:	214-618-7733

Provider Business Practice Location Address
First Line	:	5666 W MAIN ST
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034
Country	:	US
Telephone Number	:	214-618-5600
Fax Number	:	214-618-7733

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	KIM SIVARAMAN
Credential	:
Telephone Number	:	214-618-5600

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	10/26/2011

Similar Medicare Providers

1629129051 — KELLY MARIE GRIMES RN
Practice Location Address:

10070 WHEAT RIDGE DR
FRISCO, TX
75034-4719

Practice Phone: 469-585-1649
Practice Fax: 468-287-2132

1235476276 — MRS. ALISHA KATHLEEN KNIGHT RNFA
Practice Location Address:

5680 FRISCO SQUARE BLVD STE 2600
FRISCO, TX
75034-3315

Practice Phone: 463-656-9041
Practice Fax:

1508719048 — CHILDWISE ABA TX LLC
Practice Location Address:

2595 DALLAS PKWY STE 350
FRISCO, TX
75034-8527

Practice Phone: 929-282-4178
Practice Fax:

1972375194 — MRS. ANDREA DAWN CLARK MSN, APRN, FNP-C
Practice Location Address:

3800 GAYLORD PKWY STE 780
FRISCO, TX
75034-8417

Practice Phone: 469-430-0511
Practice Fax:

1811840069 — NAQIRRA WILLIAMS
Practice Location Address:

7555 WARREN PKWY APT 495
FRISCO, TX
75034-0328

Practice Phone: 609-346-6445
Practice Fax:

1285107722 — MARK ALAN DANE MMFT, LPC-S, LCDC
Practice Location Address:

5750 GENESIS CT STE 135
FRISCO, TX
75034-4229

Practice Phone: 214-347-9778
Practice Fax: 866-803-2188

Directions to “DALLAS SURGICAL ASSISTANCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.