North East Texas Mid-Level Assist
North East Texas Mid-Level Assist provides Surgical Physician Assistant services in Hurst, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
Practice location Address checks out
809 W Harwood Rd Ste 101Hurst, TX 76054-3293 Not confirmed with CMS for 11 years — call before visiting
Phone: (817) 283-5252
Fax: (817) 283-5283
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA03242 (TX) |
|---|
Record details
| NPI number | 1356735047 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Kjeldgaard — Sole Member · (817) 283-5252 |
| NPI enumerated | March 20, 2015 |
| Last updated in NPPES | March 20, 2015 |
| Mailing address | 809 W Harwood Rd Ste 101, Hurst, TX 76054-3293 |