FALL CREEK SURGICAL ASSISTANTS
NPI 1952590077
Physician Assistant - Surgical in Keller, TX

Active since October 15, 2007
1504 KELSEY DR, KELLER, TX 76248(817) 605-0991(817) 605-0993 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fall Creek Surgical Assistants NPPES

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

FALL CREEK SURGICAL ASSISTANTS (NPI 1952590077) is a healthcare organization registered as a surgical in Keller, Texas and active in the NPI registry since October 2007. The organization lists Gregory B Mccleery, President, as its authorized official.

NPPES Registry Identity

NPI1952590077
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameFALL CREEK SURGICAL ASSISTANTS
Location Address1504 KELSEY DRKeller, TX 76248-6878
Mailing AddressPo Box 820428North Richland Hills, TX 76182-0428 · (817) 605-0991 · Fax (817) 605-0993
Fax(817) 605-0993
Organization SubpartNo
Authorized OfficialGregory B MccleeryPresident · (817) 605-0991
Enumeration DateOctober 15, 2007
NPI 1952590077 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
License Licensed in TX · SA00132
1504 KELSEY DR, Keller, TX 76248

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

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 Fall Creek Surgical Assistants's NPI number?

The NPI number for Fall Creek Surgical Assistants is 1952590077. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Fall Creek Surgical Assistants located?

Fall Creek Surgical Assistants is located at 1504 Kelsey Dr, Keller, TX 76248. The listed phone number is (817) 605-0991.

What is Fall Creek Surgical Assistants'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 Fall Creek Surgical Assistants was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.