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NPI Code Detail

MEDICARE: S&B MEDICAL EMPLOYMENT AGENCY LLC

MEDICARE: S&B MEDICAL EMPLOYMENT AGENCY LLC
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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1669216107
Entity Type Code : Organization
Provider Name (Legal Business Name) : S&B MEDICAL EMPLOYMENT AGENCY LLC
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 : 7601 CHURCHILL WAY APT 1639
Second Line :
City : DALLAS
State : TX
Zip : 75251-1945
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Authorized Official
Title or Position : OWNER
Name : SHANE E LALL
Credential :
Telephone Number : 214-227-2457
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/20/2024

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Directions to “S&B MEDICAL EMPLOYMENT AGENCY LLC ” Practice Location

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