DFW SURGICAL SOLUTIONS LLC (NPI# 1033397062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033397062 |
| Entity Type | Organization |
| Organization Name | DFW SURGICAL SOLUTIONS LLC |
| Other Organization Name | DFW SURGICAL |
| Practice Address |
2521 Lone Star Ln Grapevine TX 76051-4535 |
| Mailing Address |
Po Box 186 Grapevine TX 76099-0186 |
| Practice Telephone | 8174801800 |
| Practice Fax Number | 8172510205 |
| Mailing Telephone | 8174801800 |
| Mailing Fax Number | 8172510205 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | DR. JACKIE DEAN BONNER II (OWNER/MEMBER) |
| Authorized Official Telephone | 8174801800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
537082/686090 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| DFW Surgical | Doing Business As Name - Organization |
| Street Address |
2521 LONE STAR LN |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708927 | Laura L Bonner | Clinical Nurse Specialist | 2521 Lone Star Ln, Grapevine, TX 76051-4535 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708927 | Laura L Bonner | Clinical Nurse Specialist | 2521 Lone Star Ln, Grapevine, TX 76051-4535 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760863922 | Christopher Hayes Cst Rn Bsn | Clinical Nurse Specialist | 608 Forest View Ct, Hurst, TX 76054-2821 | 2015-06-13 |
| 1902212012 | Amy Herrera | Clinical Nurse Specialist | 1222 Commerce St Apt 1605, Dallas, TX 75202-4358 | 2014-07-09 |
| 1902172125 | Randa Sue Vajdak | Clinical Nurse Specialist | 3740 Copperfield Dr., Ste 105, Bryan, TX 77802 | 2012-04-02 |
| 1023385564 | North Texas Pro Surgical Assist, LLC | Clinical Nurse Specialist | 2809 Branch Oaks Dr, Mckinney, TX 75070-8775 | 2011-11-29 |
| 1558640599 | Wayne Belaire Enterprises Pllc | Clinical Nurse Specialist | 3167 Mariannwood Dr, Port Neches, TX 77651-6015 | 2011-08-09 |
| 1558419242 | Amanda H Wood | Clinical Nurse Specialist | 1415 Leigh Gardens Dr, Sugar Land, TX 77479-1884 | 2007-01-08 |
| 1487717096 | Karen Gilley | Clinical Nurse Specialist | 10113 Loving Trail Dr, Frisco, TX 75035-8175 | 2006-12-18 |
| 1871674580 | Christine Jean Walker | Clinical Nurse Specialist | 13521 Mane Ct, Justin, TX 76247-1110 | 2006-10-18 |
| 1720190762 | Linda J Kirk | Clinical Nurse Specialist | 215 E Quincy St Ste 610, San Antonio, TX 78215-2031 | 2006-08-31 |
| 1295842748 | Karen Sue Jordan | Clinical Nurse Specialist | 10950 Us Hwy 87 North, Box 38, Carlsbad, TX 76934-0038 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.