Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meadow Lane Surgical Alliance, PLLC

Organization Surgical Physician Assistant · NPI 1447764873

Meadow Lane Surgical Alliance, PLLC is a Surgical Physician Assistant in Dallas, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9301 N Central Expy Ste 400
Dallas, TX 75231-0805
Phone: (210) 598-4262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Medical-Surgical Clinical Nurse Specialist Taxonomy 364SM0705X

Record details

NPI number1447764873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Clavenna — Manager · (214) 378-3310
NPI enumeratedNovember 21, 2017
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339

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