NPI age
20 years
Enumerated 2005-11-15
● Active Type 2 · Organization
Foundation Surgery Affiliate Of Nacogdoches Llc
Foundation Surgery Affiliate Of Nacogdoches Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Godinez
Credentialing Manager
Last NPPES update
2026-01-21
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
20 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
3610 N University Dr
Nacogdoches, TX 759652539
Mailing address
3610 N University Dr
Nacogdoches, TX 759652539
Authorized official
Carah Godinez
Credentialing Manager
📞 8177056517
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Rodney Cannaday, CRNA Nurse Anesthetist, Certified Registered NPI 1598844359
- Kendra Stockman, CRNA Nurse Anesthetist, Certified Registered NPI 1316097579
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Nacogdoches Surgery Center
Practice context
Multi-provider organization. 2 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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