Provider Demographics
NPI:1730345208
Name:ASSOCIATES IN SURGICAL ACUTE CARE
Entity type:Organization
Organization Name:ASSOCIATES IN SURGICAL ACUTE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOONSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-947-2523
Mailing Address - Street 1:1441 N. BECKLEY AVE.
Mailing Address - Street 2:ATTN: ADMINISTRATION
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203
Mailing Address - Country:US
Mailing Address - Phone:214-520-5700
Mailing Address - Fax:214-520-5779
Practice Address - Street 1:221 W. COLORADO BLVD.
Practice Address - Street 2:PAVILION II, SUITE 933
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:214-933-6030
Practice Address - Fax:214-946-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty