Deep Blue First Assist LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

530175 Issued in TX

Legal business name

DEEP BLUE FIRST ASSIST LLC

Practice address

801 W I-20
Arlington, TX 76017-5851

Phone

(817) 472-3675

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Cece Pannell

Title

Off MGR

Phone

(817) 294-7444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1932494192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444",
            "fax_number": "817-294-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W I-20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175851",
            "telephone_number": "817-472-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP BLUE FIRST ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "CECE",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "817-294-7444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "530175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Suzanne Decaro, FNP-BC
• Deck Scott Holdings LLC
• Meredith Decker
• Ashley Deege
• Meredith Arnold Deemer
• C. N. Deepak, MDS
• Define Dental PLLC
• Mark R Dehart, LCDC
• Deifeolu Heritage Health Care Services
• Bria Dein

• Surgical Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.