JUAN ALFARO CORNEJO CSFA
NPI 1205611845
Specialist/Technologist, Other - Surgical Assistant in Tyler, TX

Q: What is Juan Alfaro Cornejo's NPI number?

The NPI number for Juan Alfaro Cornejo is 1205611845. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Q: What is Juan Alfaro Cornejo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Active since August 30, 2023

828 S FLEISHEL AVE, TYLER, TX 75701(903) 646-5350(888) 501-1092 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Juan Alfaro Cornejo Csfa NPPES

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

JUAN ALFARO CORNEJO CSFA (NPI 1205611845) is an individual surgical assistant in Tyler, Texas and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1205611845

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameJUAN ALFARO CORNEJOCredential: CSFA

Location Address828 S FLEISHEL AVETyler, TX 75701-2042

Mailing Address113 Thunderbird DrAthens, TX 75751-3509 · (903) 286-7671

Phone(903) 646-5350

Fax(888) 501-1092

Sole ProprietorYes

Enumeration DateAugust 30, 2023

NPPES CertifiedAugust 29, 2023

✔ NPI 1205611845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

828 S FLEISHEL AVE, Tyler, TX 75701

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Other Providers at the Same Location NPPES 3

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

MRS. MELISSA K BURTON CST, CSFA, LSA

Specialist/Technologist, Other (Surgical Assistant)

828 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 646-5350

SARAH MARIE BROWN APRN, NP-C, RNFA

Nurse Practitioner (Family)

828 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 646-5350

SURGICAL ASSISTING OF EAST TEXAS, LLC

Specialist

828 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 646-5350

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 Juan Alfaro Cornejo's NPI number?

The NPI number for Juan Alfaro Cornejo is 1205611845. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Juan Alfaro Cornejo located?

Juan Alfaro Cornejo practices at 828 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 646-5350.

What is Juan Alfaro Cornejo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Juan Alfaro Cornejo was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.