P Praxis·MD
● Active Type 1 · Individual

Kendall Polk, CSFA

Specialist/Technologist, Other·Mansfield, TX· NPI 1285009803 · Enumerated 2015 · 10 years on NPI
Polk is 1 of 11 specialist/technologist, other providers in Mansfield and 1 of 1407 in Texas.
NPI age
10 years
Enumerated 2015-12-08
Primary specialty
Specialist/Technologist, Other
Plus 3 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1407 active specialist/technologist, other providers in Texas.

NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
3
In the 19% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-12Enumerated in NPPES
2015 2026

Where they practice

Practice location
205 Crenshaw Dr
Mansfield, TX 760633451
📞 2149276539fax 8173941231
Mailing address
3540 E. Braod St. Ste 102#237
Mansfield, TX 760639157
📞 2149276539fax 8173941231

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    TX license #SA00635 taxonomy 246ZC0007X
  • Specialist/Technologist, Other
    Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
    TX license #SA00635 taxonomy 246ZS0410X
  • Specialist/Technologist, Other
    An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon...
    TX license #SA00635 taxonomy 246ZX2200X
  • Surgery
    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...
    TX license #SA00635 taxonomy 208600000X

Identifiers

TypeValueNotes
01 1225495708 NPI

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1407 Specialist/Technologist, Other providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related