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NPI 1679704167
● Active Type 2 · Organization
Excellent Surgical Assist Group
Specialist/Technologist, Other · Desoto, TX · NPI 1679704167
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Enumerated 2009 · 16 years on NPI
Excellent Surgical Assist Group is 1 of 1407 specialist/technologist, other organizations in Texas.
NPI age
16 years
Enumerated 2009-07-31
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hamilton
President
Last NPPES update
2009-07-31
Source: monthly bulk 2026-05
How this organization compares
Across 1407 active specialist/technologist, other providers in Texas.
NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2009 → 2026
2009-07 Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
924 Whitewater Trl
Desoto, TX 751155443
📞 9723455074
Mailing address
924 Whitewater Trl
Desoto, TX 751155443
📞 9723455074
Authorized official
Dorothea Rena Hamilton, CSA
President
📞 9723455074
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Specialist/Technologist, Other
Primary
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,...
TX license #3354 taxonomy 246ZC0007X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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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.