Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Specialist/Technologist |
225500000X |
| NPI # | 1821621079 |
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| LBN Legal business name | ATX SURGICAL ASSISTANTS, LLC | ||||
| Authorized official | DEBORAH SHEFFIELD - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/17/2020 | ||||
| Last updated | 02/16/2022 - About 4 years ago | ||||
| Identifiers |
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