NPI Profile for MEADOW LANE SURGICAL ALLIANCE PLLC in SPRING, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Medical-Surgical |
364SM0705X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1447764873 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/21/2017 | |
| Last updated | 09/07/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |