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Contact Information

JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC
3808 SCENIC DR
TYLER, TX75709-5402
 Phone: 888-322-6432
 Fax: 888-329-6432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC

NPI # 1760831770
LBN Legal business name JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC
Authorized official JULIE CONLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2016
Last updated 01/25/2017 - About 9 years ago
Identifiers
TX License # 521694
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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