Squire Surgical Services PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SQUIRE SURGICAL SERVICES PLLC

Practice address

2004 Vail Rd
Southlake, TX 76092-3849

Phone

(817) 683-5826

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Lowe

Title

Billing Manager

Phone

(817) 683-5826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1114451614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 VAIL RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923849",
            "telephone_number": "817-683-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 VAIL RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923849",
            "telephone_number": "817-683-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUIRE SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-683-5826",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Works Therapy-Southlake, P.L.L.C.
• Giuseppe Sposito, DPT
• Trisha J Sprekelmeyer
• Kathryn Jo Sprengel, LPC ASSOCIATE
• Spry Medical Group Corporation
• Pravina Srinivas, PHD, MLS
• Rozemarijn Staal, PSYD
• Stacey Cartlidge LPC PLLC
• Morgan Stahlheber
• Christy Stancliffe

• 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 Apr 12, 2017; 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.