Most Relevant Information
Provider Data
| NPI Number: | 1003422528 |
| Provider Name: | ANGIE MARIE STANFORD SURGICALFIRST ASSIST |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2020 |
| Last Updated: | 04/08/2022 |
Provider Practice Location
272 N AVENUE E
CRAWFORD
TX
766383242
Practice Location Phone/Fax
| Phone: | 2544245231 |
| Fax: |
Provider Mailing Location
272 N AVENUE E
CRAWFORD
TX
766383242
Provider Mailing Phone/Fax
| Phone: | 2544245231 |
| Fax: |