Exemplify Surgical First Assisting

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

EXEMPLIFY SURGICAL FIRST ASSISTING

Practice address

3033 Bardin Rd
1011
Grand Prairie, TX 75052-3858

Phone

(214) 546-2320

Fax

(214) 518-6742

NPI assigned

Oct 30, 2015

Last updated

Oct 30, 2015By 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

Mr. Marvin Matthew Walker Jr., CST

Title

Owner

Phone

(214) 546-2320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1568834455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225466",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752225466",
            "telephone_number": "214-546-2320",
            "fax_number": "214-518-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 BARDIN RD",
            "address_2": "1011",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523858",
            "telephone_number": "214-546-2320",
            "fax_number": "214-518-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLIFY SURGICAL FIRST ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-546-2320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CST"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Special Hospital in Grand Prairie, TX
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• Special Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.