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REDRAIDERS ASSISTANTS, PLLC
NPI 1669061172
Physician Assistant - Surgical in Longview, TX

Active since January 11, 2021
2901 4TH ST, LONGVIEW, TX 75605(817) 756-8236 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Redraiders Assistants, Pllc NPPES

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

REDRAIDERS ASSISTANTS, PLLC (NPI 1669061172) is a healthcare organization registered as a surgical in Longview, Texas and active in the NPI registry since January 2021. The organization lists Rekha Wagle, Npi Administrator, as its authorized official.

NPPES Registry Identity

NPI1669061172
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameREDRAIDERS ASSISTANTS, PLLC
Location Address2901 4TH STLongview, TX 75605-5128
Mailing Address510 E Loop 281 Ste B #624Longview, TX 75605-5076 · (817) 756-8232
Phone(817) 756-8236
Organization SubpartNo
Authorized OfficialRekha WagleNpi Administrator · (817) 756-8232
Enumeration DateJanuary 11, 2021
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1669061172 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
2901 4TH ST, Longview, TX 75605
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Group Practice 1

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

ASSISTANTE SERVICES PLLC
Physician Assistant (Surgical)
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (817) 756-8236
DR. MICHAEL FRANCIS BRODERICK DO
Hospitalist
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (903) 758-1818
MATTHEW GRAHAM DAWSON
Nurse Practitioner (Family)
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (903) 232-3675
DR. JEFFREY RUSSELL KEMP M.D.
Internal Medicine
2901 4TH ST, HOSPITALIST
LONGVIEW, TX 75605
Gregg County (903) 758-1818
LORI EBARB REEVES NP
Nurse Practitioner (Family)
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (903) 233-4795
DR. CARL NORMAN MILLER M.D.
Radiology (Vascular & Interventional Radiology)
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (734) 657-3868
JACQUELYN BROOKE HOPKINS
Nurse Practitioner (Family)
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (903) 758-1818
RYAN HANSEN SEXTON CRNA
Nurse Anesthetist, Certified Registered
2901 4TH ST
LONGVIEW, TX 75605
Gregg County (903) 232-3600

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 Redraiders Assistants, PLLC's NPI number?

The NPI number for Redraiders Assistants, PLLC is 1669061172. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Redraiders Assistants, PLLC located?

Redraiders Assistants, PLLC is located at 2901 4th St, Longview, TX 75605. The listed phone number is (817) 756-8236.

What is Redraiders Assistants, PLLC'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 Redraiders Assistants, PLLC was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.