NPI age
10 years
Enumerated 2016-01-29
● Active Type 2 · Organization
Phenomsurgical Assisting
Phenomsurgical Assisting is 1 of 1407 specialist/technologist, other organizations in Texas.
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Champion
Owner
Last NPPES update
2016-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 1407 active specialist/technologist, other providers in Texas.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4026 E Teal Estates Cir
Fresno, TX 775458851
Mailing address
4026 E Teal Estates Cir
Fresno, TX 775458851
Authorized official
Gwendolyn Champion, LSA
Owner
📞 5109848610
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Gwendolyn Champion, LSA Physician Assistant NPI 1407241300
Specialties
-
Specialist/Technologist, Other PrimaryA 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,...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.