Special Surgery DFW, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SPECIAL SURGERY DFW, PLLC

Practice address

5500 Frisco Square Blvd
Frisco, TX 75034-3305

Phone

(210) 996-6363

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Everly Miller

Title

Billing Manager

Phone

(210) 996-6363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1801465141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 DALLAS PKWY STE 100-300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FRISCO SQUARE BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343305",
            "telephone_number": "210-996-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SURGERY DFW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EVERLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "210-996-6363"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Spears-McCulley, BCBA
• Specialty Physician Partners, LLC
• Ashley Erin Spector, D.C.
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• Brent Austin Spencer, M.D.

• Surgical Physician Assistant in Frisco, TX
• Providers in Frisco, 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 Jun 22, 2021; 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.