TEXARKANA SURGICAL FIRST ASSISTANT PLLC
NPI 1831211317
in Texarkana, TX

Active since April 04, 2007

2600 SAINT MICHAEL DR, TEXARKANA, TX 75503(903) 614-1000 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Texarkana Surgical First Assistant Pllc NPPES

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

TEXARKANA SURGICAL FIRST ASSISTANT PLLC (NPI 1831211317) is a healthcare organization registered with NPPES in Texarkana, Texas and active in the NPI registry since April 2007. The organization lists Wendy Gordon, Lsa, as its authorized official.

NPPES Registry Identity

NPI1831211317

Entity TypeOrganization

Primary Taxonomy246ZS0400X

Legal Business NameTEXARKANA SURGICAL FIRST ASSISTANT PLLC

Location Address2600 SAINT MICHAEL DRTexarkana, TX 75503-2372

Mailing AddressPo Box 11219Fort Worth, TX 76110-0219 · (817) 294-7444

Phone(903) 614-1000

Organization SubpartNo

Authorized OfficialWendy GordonLsa · (817) 294-7444

Enumeration DateApril 4, 2007

Last NPPES UpdateFebruary 4, 2010

✔ NPI 1831211317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

License✔ Licensed in TX · SA00281

2600 SAINT MICHAEL DR, Texarkana, TX 75503

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Other Identifiers 2

OtherSA00281TX · License Number

Other0055FLTX · Bcbstx

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 20

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

HEATHER PENNINGTON RNFA

Registered Nurse (Registered Nurse First Assistant)