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NPI 1417664103
● Active Type 2 · Organization
Lone Star Surgical Assisting Llc
Physician Assistant · Waco, TX · NPI 1417664103
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Enumerated 2022 · 3 years on NPI
Lone Star Surgical Assisting Llc is 1 of 1890 physician assistant organizations in Texas.
NPI age
3 years
Enumerated 2022-11-01
Primary specialty
Physician Assistant
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2023-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 1890 active physician assistant providers in Texas.
NPI age
3 years
↓ 8 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-11 Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
10113 Barton Creek Dr
Waco, TX 767085877
📞 9039444646
Mailing address
430 W State Highway 6 Po Box 20661
Waco, TX 767025877
📞 9039444646
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6901 Medical Pkwy
Waco, TX 767127910
📞 2547514000
Authorized official
James Cameron Jackson, CSFA
Owner
📞 9039444646
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Physician Assistant
Primary
Definition to come...
taxonomy 363AS0400X
Specialist/Technologist, Other
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,...
taxonomy 246ZC0007X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.