Specialty Surgical Services PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SPECIALTY SURGICAL SERVICES PLLC

Practice address

910 E Southlake Blvd
155
Southlake, TX 76092-6388

Phone

(972) 556-2885

Fax

(817) 527-8480

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Parind Patel

Title

Administrator

Phone

(214) 306-8065

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1073929576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511383",
            "telephone_number": "800-785-8765",
            "fax_number": "281-453-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E SOUTHLAKE BLVD",
            "address_2": "155",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926388",
            "telephone_number": "972-556-2885",
            "fax_number": "817-527-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARIND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-306-8065"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Michelle Sowell, MS PT
• David K Spady, M.D.
• Kelsie Jordyn Speckner, PA-C
• Grace Schuler Spencer, PSYD
• Nicole Marie Spexarth
• Maria Gabriela Spicer, LPC-A
• Spine Team Texas PA

• Surgical Physician Assistant in Southlake, TX
• Providers in Southlake, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.