NORTH EAST TEXAS MID-LEVEL ASSIST
NPI 1356735047
Physician Assistant - Surgical in Hurst, TX

Active since March 20, 2015
809 W HARWOOD RD STE 101, HURST, TX 76054(817) 283-5252(817) 283-5283 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North East Texas Mid-level Assist NPPES

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

NORTH EAST TEXAS MID-LEVEL ASSIST (NPI 1356735047) is a healthcare organization registered as a surgical in Hurst, Texas and active in the NPI registry since March 2015. The organization lists Larry M Kjeldgaard, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1356735047
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameNORTH EAST TEXAS MID-LEVEL ASSIST
Location Address809 W HARWOOD RD STE 101Hurst, TX 76054-3293
Mailing Address809 W Harwood Rd Ste 101Hurst, TX 76054-3293 · (817) 283-5252 · Fax (817) 283-5283
Fax(817) 283-5283
Organization SubpartNo
Authorized OfficialLarry M KjeldgaardSole Member · (817) 283-5252
Enumeration DateMarch 20, 2015
NPI 1356735047 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
License Licensed in TX · PA03242
809 W HARWOOD RD STE 101, Hurst, TX 76054

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

Other Providers at the Same Location NPPES 6

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

Specialist
809 W HARWOOD RD STE 101
HURST, TX 76054
Orthopaedic Surgery
809 W HARWOOD RD STE 101
HURST, TX 76054
Chiropractor
809 W HARWOOD RD STE 101
HURST, TX 76054
Nurse Practitioner (Acute Care)
809 W HARWOOD RD STE 101
HURST, TX 76054
Physical Therapy Assistant
809 W HARWOOD RD STE 101
HURST, TX 76054
Physical Therapist
809 W HARWOOD RD STE 101
HURST, TX 76054

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 North East Texas Mid-Level Assist's NPI number?

The NPI number for North East Texas Mid-Level Assist is 1356735047. It was assigned to this organization in the NPPES registry on March 20, 2015.

Where is North East Texas Mid-Level Assist located?

North East Texas Mid-Level Assist is located at 809 W Harwood Rd Ste 101, Hurst, TX 76054. The listed phone number is (817) 283-5252.

What is North East Texas Mid-Level Assist'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 North East Texas Mid-Level Assist was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.