Provider Demographics
NPI:1669557617
Name:RNFA SURGICAL SPECIALISTS, P.C.
Entity type:Organization
Organization Name:RNFA SURGICAL SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE, FIRST ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RNFA, CNOR, CFA
Authorized Official - Phone:940-648-3919
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-0171
Mailing Address - Country:US
Mailing Address - Phone:940-648-3919
Mailing Address - Fax:940-648-3919
Practice Address - Street 1:13521 MANE CT
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247
Practice Address - Country:US
Practice Address - Phone:817-917-5651
Practice Address - Fax:940-648-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686637163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty