Provider Demographics
NPI:1679121982
Name:ACUTE CARE SURGICAL SPECIALISTS PLLC
Entity type:Organization
Organization Name:ACUTE CARE SURGICAL SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERSON
Authorized Official - Middle Name:O
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-293-3368
Mailing Address - Street 1:9301 N CENTRAL EXPY STE 180A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0822
Mailing Address - Country:US
Mailing Address - Phone:214-253-0170
Mailing Address - Fax:214-292-6522
Practice Address - Street 1:9301 N CENTRAL EXPY STE 180A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0822
Practice Address - Country:US
Practice Address - Phone:214-253-0170
Practice Address - Fax:214-292-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty