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LONE STAR SURGICAL ASSISTING LLC
NPI 1417664103
Physician Assistant - Surgical in Waco, TX

Active since November 01, 2022
10113 BARTON CREEK DR, WACO, TX 76708(903) 944-4646 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2023, Nov 22, 2022, Nov 18, 2022 and 1 more (4 updates tracked since 2022).

About Lone Star Surgical Assisting Llc NPPES

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

LONE STAR SURGICAL ASSISTING LLC (NPI 1417664103) is a healthcare organization registered as a surgical in Waco, Texas and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Waco and lists James Cameron Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417664103
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameLONE STAR SURGICAL ASSISTING LLC
Location Address10113 BARTON CREEK DRWaco, TX 76708-5877
Mailing Address430 W State Highway 6 Po Box 20661Waco, TX 76702-5877 · (903) 944-4646
Phone(903) 944-4646
Organization SubpartNo
Authorized OfficialJames Cameron JacksonOwner · (903) 944-4646
Enumeration DateNovember 1, 2022
Last NPPES UpdateJanuary 5, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1417664103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
10113 BARTON CREEK DR, Waco, TX 76708
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Secondary Practice Location 1

Location 16901 Medical PkwyWaco, TX 76712-7910 · Phone (254) 751-4000

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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

JAMES CAMERON JACKSON CSFA
Physician Assistant (Surgical)
10113 BARTON CREEK DR
WACO, TX 76708
McLennan County (903) 944-4646

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 Lone Star Surgical Assisting LLC's NPI number?

The NPI number for Lone Star Surgical Assisting LLC is 1417664103. It was assigned to this organization in the NPPES registry on November 1, 2022.

Where is Lone Star Surgical Assisting LLC located?

Lone Star Surgical Assisting LLC is located at 10113 Barton Creek Dr, Waco, TX 76708. The listed phone number is (903) 944-4646.

What is Lone Star Surgical Assisting LLC'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 Lone Star Surgical Assisting LLC was last updated on January 5, 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.