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SQUIRE SURGICAL SERVICES PLLC
NPI 1114451614
Physician Assistant - Surgical in Southlake, TX

Active since April 12, 2017
2004 VAIL RD, SOUTHLAKE, TX 76092(817) 683-5826 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Squire Surgical Services Pllc NPPES

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

SQUIRE SURGICAL SERVICES PLLC (NPI 1114451614) is a healthcare organization registered as a surgical in Southlake, Texas and active in the NPI registry since April 2017. The organization lists Nicole Lowe, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1114451614
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSQUIRE SURGICAL SERVICES PLLC
Location Address2004 VAIL RDSouthlake, TX 76092-3849
Mailing Address2004 Vail RdSouthlake, TX 76092-3849 · (817) 683-5826
Phone(817) 683-5826
Organization SubpartNo
Authorized OfficialNicole LoweBilling Manager · (817) 683-5826
Enumeration DateApril 12, 2017
✔ NPI 1114451614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2004 VAIL RD, Southlake, TX 76092
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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 SINGLE SPECIALTY GROUP

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 Squire Surgical Services PLLC's NPI number?

The NPI number for Squire Surgical Services PLLC is 1114451614. It was assigned to this organization in the NPPES registry on April 12, 2017.

Where is Squire Surgical Services PLLC located?

Squire Surgical Services PLLC is located at 2004 Vail Rd, Southlake, TX 76092. The listed phone number is (817) 683-5826.

What is Squire Surgical Services 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 Squire Surgical Services PLLC was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.