Angie Marie Stanford, SURGICALFIRST ASSIST

Individual provider Active NPI Surgical Physician Assistant · Crawford, TX

NPI 1003422528 · NPPES record last updated Apr 8, 2022

Key facts

NPI
1003422528
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
Practice address
272 N Avenue E
Crawford, TX 76638-3242
Phone
(254) 424-5231
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Surgical Assists Surgical Assistant Current
since Oct 25, 2020
Accepting new patients

Locations

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X
Surgical Physician Assistant 363AS0400X Yes

Addresses

Primary practice location

272 N Avenue E
Crawford, TX 76638-3242

Mailing address

272 N Avenue E
Crawford, TX 76638-3242
Phone (254) 424-5231

Other practice location 1

601 W Hwy 6
Waco, TX 76710-5591
Phone (254) 751-9836

Other practice location 2

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4200

Other providers in Crawford, TX

All providers in Crawford, TX · Surgical Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.