National Provider Identifier Database

CCST ASSOCIATES PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CCST ASSOCIATES PLLC
221 W COLORADO BLVD
SUITE 100
DALLAS, TX75208
Phone: 214-943-8605
Fax: 214-941-3076
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for CCST ASSOCIATES PLLC

NPI Number 1023117157
Legal business name
LBN
CCST ASSOCIATES PLLC
Authorized official ALICIA MANGRAM - (TRAUMA SURGEON)
Entity Organization
Organization subpart No
Enumeration date 09/22/2006
Last updated 10/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: J8654
  • TX Medicaid: 144729404

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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