SURGICAL SPECIALISTS OF SOUTH DALLAS, PA
Radiology at Wheatland Rd, Dallas, TX

License number
Texas 612049
Category
Radiology
Type
Surgery
Owner
Name: LAUREL L POWELL MD
Title: OWNER
Phone: (972) 216-9511
Address
Address
3430 W Wheatland Rd SUITE 407, Dallas, TX 75237
National Provider ID: 1811210693
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGICAL SPECIALISTS OF SOUTH DALLAS, PA

3430 W Wheatland Rd STE 407, Dallas, TX 75237

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 22, 2009
State ID:
0801149463
Business type:
Professional Association
Director:
Laurel L. Powell Director, inactive
Agent:
Laurel Lee Powell,3430 W Wheatland Rd SUITE 407, Dallas, TX 75237 (Physical)
TIN:
32039963148

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