EAST TEXAS FIRST SURGICAL SUPPORT PLLC
NPI 1568009058
Surgery in Tyler, TX

Q: What is East Texas First Surgical Support PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 04, 2019

3414 GOLDEN RD, TYLER, TX 75701(210) 598-4262 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 7, 2023, May 11, 2022, Aug 18, 2021 and 2 more (5 updates tracked since 2019).

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About East Texas First Surgical Support Pllc NPPES

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

EAST TEXAS FIRST SURGICAL SUPPORT PLLC (NPI 1568009058) is a healthcare organization registered as a surgery in Tyler, Texas and active in the NPI registry since December 2019. The organization lists Ken Kaminski, Manager, as its authorized official.

NPPES Registry Identity

NPI1568009058

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameEAST TEXAS FIRST SURGICAL SUPPORT PLLC

Location Address3414 GOLDEN RDTyler, TX 75701-8336

Mailing Address1141 N Loop 1604 E # 105-612San Antonio, TX 78232-1339 · (210) 598-4262

Phone(210) 598-4262

Organization SubpartNo

Authorized OfficialKen KaminskiManager · (903) 939-7792

Enumeration DateDecember 4, 2019

Last NPPES UpdateSeptember 7, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1568009058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

3414 GOLDEN RD, Tyler, TX 75701

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LYNSIE PAIGE DOUGHTEN FNP-C

Nurse Practitioner (Family)