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KENDALL POLK CSFA
NPI 1285009803
Specialist/Technologist, Other - Surgical Assistant in Mansfield, TX

Active since December 08, 2015
205 CRENSHAW DR, MANSFIELD, TX 76063(214) 927-6539(817) 394-1231 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Dec 20, 2017, Jun 30, 2017 and 2 more (5 updates tracked since 2015).

About Kendall Polk Csfa NPPES

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

KENDALL POLK CSFA (NPI 1285009803) is an individual surgical assistant in Mansfield, Texas, licensed in Texas (SA00635) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1285009803
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameKENDALL POLKCredential: CSFA
Location Address205 CRENSHAW DRMansfield, TX 76063-3451
Mailing Address3540 E. Braod St. Ste 102#237Mansfield, TX 76063-9157 · (214) 927-6539 · Fax (817) 394-1231
Phone(214) 927-6539
Fax(817) 394-1231
Sole ProprietorYes
Enumeration DateDecember 8, 2015
Last NPPES UpdateJune 16, 20185 updates tracked since enumeration
✔ NPI 1285009803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · SA00635
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.
Also ListedSurgeryTaxonomy 208600000X · License SA00635 (TX)
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X · License SA00635 (TX)
Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License SA00635 (TX)
205 CRENSHAW DR, Mansfield, TX 76063
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Other Identifiers 1

Other1225495708Npi

Other Providers at the Same Location NPPES

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

QUALITY ASSIST, LLC
Specialist/Technologist, Other (Surgical Assistant)
205 CRENSHAW DR
MANSFIELD, TX 76063
Tarrant County (214) 927-6539

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 Kendall Polk's NPI number?

The NPI number for Kendall Polk is 1285009803. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Kendall Polk located?

Kendall Polk practices at 205 Crenshaw Dr, Mansfield, TX 76063. The listed phone number is (214) 927-6539.

What is Kendall Polk'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 Kendall Polk was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.