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NICOSIA ENTERPRISES LLC
NPI 1821419011
Physician Assistant - Surgical in Tyler, TX

Active since December 15, 2013
13674 ARIZONA DR, TYLER, TX 75707(903) 566-6816(972) 268-6014 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nicosia Enterprises Llc NPPES

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

NICOSIA ENTERPRISES LLC (NPI 1821419011) is a healthcare organization registered as a surgical in Tyler, Texas and active in the NPI registry since December 2013. The organization lists Chanda Lea Nicosia, Owner, as its authorized official.

NPPES Registry Identity

NPI1821419011
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameNICOSIA ENTERPRISES LLC
Location Address13674 ARIZONA DRTyler, TX 75707-6806
Mailing Address13674 Arizona DrTyler, TX 75707-6806 · (903) 566-6816 · Fax (972) 268-6014
Phone(903) 566-6816
Fax(972) 268-6014
Organization SubpartNo
Authorized OfficialChanda Lea NicosiaOwner · (903) 566-6816
Enumeration DateDecember 15, 2013
Last NPPES UpdateNovember 18, 2015
✔ NPI 1821419011 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 · License SA00471 (TX)
13674 ARIZONA DR, Tyler, TX 75707
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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

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

MRS. CHANDA LEA NICOSIA CSFA/LSA
Physician Assistant (Surgical)
13674 ARIZONA DR
TYLER, TX 75707
Smith County (903) 216-3561

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 Nicosia Enterprises LLC's NPI number?

The NPI number for Nicosia Enterprises LLC is 1821419011. It was assigned to this organization in the NPPES registry on December 15, 2013.

Where is Nicosia Enterprises LLC located?

Nicosia Enterprises LLC is located at 13674 Arizona Dr, Tyler, TX 75707. The listed phone number is (903) 566-6816.

What is Nicosia Enterprises 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 Nicosia Enterprises LLC was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.