NPI age
5 years
Enumerated 2021-01-11
● Active Type 2 · Organization
P & D Surgically Assist Pllc
P & D Surgically Assist Pllc is 1 of 1890 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wagle
Npi Administrator
Last NPPES update
2021-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 1890 active physician assistant providers in Texas.
NPI age
5 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2901 4th St
Longview, TX 756055128
Mailing address
2140 Hall Johnson Rd, 102 #108
Grapevine, TX 76051
Authorized official
Rekha Wagle
Npi Administrator
📞 8177568232
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Meagan Bailey, RRT Respiratory Therapist, Registered NPI 1780475442
- Joseph Bell, MD Internal Medicine NPI 1205803079
- Jamie Blackmon, FNP-C Nurse Practitioner NPI 1356913586
- Michael Broderick, DO Hospitalist NPI 1033778758
- Traci Cardon Nurse Practitioner NPI 1528862901
- Casey Daniel, NP Nurse Practitioner NPI 1811660897
- Matthew Dawson Nurse Practitioner NPI 1043820632
- Rikki Glezen, FNP-C Nurse Practitioner NPI 1164306064
- Alana Hahn, D.O. Pediatrics NPI 1548716319
- Stacy Harwell, NP Nurse Practitioner NPI 1467152074
- Adam Hawkins, RN, BSN Registered Nurse NPI 1235964743
- Jacquelyn Hopkins Nurse Practitioner NPI 1134600919
- Jeffrey Kemp, M.D. Internal Medicine NPI 1104266246
- Damien Kinzler, DO Emergency Medicine NPI 1265638035
- Dallon Kitchen, PA-C Physician Assistant NPI 1558744391
- Michael Kyrellos, M.D. Emergency Medicine NPI 1184987398
- John Lamaster, CRABT Perfusionist NPI 1609592856
- Judson Lawrence, NP Nurse Practitioner NPI 1437527298
- James Lowe, M.D. Radiology NPI 1801884606
- Dana Maxey, PA Physician Assistant NPI 1801067103
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Multi-provider organization. 20 individual providers 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.