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MEADOW LANE SURGICAL ALLIANCE, PLLC
NPI 1447764873
Physician Assistant - Surgical in Dallas, TX

Active since November 21, 2017
9301 N CENTRAL EXPY STE 400, DALLAS, TX 75231(210) 598-4262 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, May 11, 2022, Aug 25, 2021 and 2 more (5 updates tracked since 2017).

About Meadow Lane Surgical Alliance, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOW LANE SURGICAL ALLIANCE, PLLC (NPI 1447764873) is a healthcare organization registered as a surgical in Dallas, Texas and active in the NPI registry since November 2017. The organization lists Andrew Clavenna, Manager, as its authorized official.

NPPES Registry Identity

NPI1447764873
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameMEADOW LANE SURGICAL ALLIANCE, PLLC
Location Address9301 N CENTRAL EXPY STE 400Dallas, TX 75231-0805
Mailing Address1141 N Loop 1604 E # 105-612San Antonio, TX 78232-1339 · (210) 598-4262
Phone(210) 598-4262
Organization SubpartNo
Authorized OfficialAndrew ClavennaManager · (214) 378-3310
Enumeration DateNovember 21, 2017
Last NPPES UpdateSeptember 7, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1447764873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X
9301 N CENTRAL EXPY STE 400, Dallas, TX 75231
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN JOE TABOR DPT
Physical Therapist
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468
CARRELL CLINIC SPECIALTY CARE PLLC
Orthopaedic Surgery
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 529-2057
MARGARET MORGAN
Physician Assistant (Surgical)
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468
STANLEY KANU
Physician Assistant
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468
MAHUIYANG RONG
Physical Therapist (Orthopedic)
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 397-1570
IAN BLOCK DPT
Physical Therapist (Orthopedic)
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468
TERESA COONEY OPA-C
Physician Assistant
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468
URVI PATEL PA-C
Physician Assistant (Surgical)
9301 N CENTRAL EXPY STE 400
DALLAS, TX 75231
Dallas County (214) 220-2468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meadow Lane Surgical Alliance, PLLC's NPI number?

The NPI number for Meadow Lane Surgical Alliance, PLLC is 1447764873. It was assigned to this organization in the NPPES registry on November 21, 2017.

Where is Meadow Lane Surgical Alliance, PLLC located?

Meadow Lane Surgical Alliance, PLLC is located at 9301 N Central Expy Ste 400, Dallas, TX 75231. The listed phone number is (210) 598-4262.

What is Meadow Lane Surgical Alliance, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Meadow Lane Surgical Alliance, PLLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.