P Praxis·MD
● Active Type 2 · Organization

East Texas First Surgical Support Pllc

Surgery·Tyler, TX· NPI 1568009058 · Enumerated 2019 · 6 years on NPI
East Texas First Surgical Support Pllc is 1 of 3028 surgery organizations in Texas.
NPI age
6 years
Enumerated 2019-12-04
Primary specialty
Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kaminski
Manager
Last NPPES update
2023-09-07
Source: monthly bulk 2026-05

How this organization compares

Across 3028 active surgery providers in Texas.

NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-12Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
3414 Golden Rd
Tyler, TX 757018336
📞 2105984262
Mailing address
1141 N Loop 1604 E # 105-612
San Antonio, TX 782321339
📞 2105984262

Authorized official

Ken Kaminski
Manager
📞 9039397792

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    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...
    taxonomy 208600000X
  • Physician Assistant
    Definition to come...
    taxonomy 363AS0400X

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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