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NPI 1831211317
● Active Type 2 · Organization
Texarkana Surgical First Assistant Pllc
Specialist/Technologist, Other · Texarkana, TX · NPI 1831211317
·
Enumerated 2007 · 19 years on NPI
Texarkana Surgical First Assistant Pllc is 1 of 387 specialist/technologist, other organizations in Texas.
NPI age
19 years
Enumerated 2007-04-04
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordon
Lsa
Last NPPES update
2010-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 387 active specialist/technologist, other providers in Texas.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-04 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2600 Saint Michael Dr
Texarkana, TX 755032372
📞 9036141000
Mailing address
Po Box 11219
Fort Worth, TX 761100219
📞 8172947444
Authorized official
Wendy Gordon, LSA
Lsa
📞 8172947444
Individual providers at this organization
20 individual providers on file at this primary practice address.
Alex Ayers , PA-C
Physician Assistant
NPI 1073011599
Caleb Bennett
Nurse Anesthetist, Certified Registered
NPI 1093304917
Paul Bernard , M.D.
Anesthesiology
NPI 1861460438
Brandie Byrne
Nurse Practitioner
NPI 1942871215
Yesenia Canciobello , CRNA
Nurse Anesthetist, Certified Registered
NPI 1457954737
Cody Copeland , NP-C
Nurse Practitioner
NPI 1689319675
Bret Craytor , MD
Internal Medicine
NPI 1649270539
Rebecca Dokupil , RD, LD
Dietitian, Registered
NPI 1093159758
Pegan Doss , AGACNP-BC
Nurse Practitioner
NPI 1487316626
Roderick Echols , MD
Internal Medicine
NPI 1417927369
Kelechi Etoh , PHARMD, MPH
Pharmacist
NPI 1932837028
Michael Gaertner , D.O.
Emergency Medicine
NPI 1356368815
Samuel Gatzert , M.D.
Radiology
NPI 1548681042
Stephen Glenn , MD
Internal Medicine
NPI 1336149434
Wendy Gordon , LSA
Specialist
NPI 1528079068
Angela Guy , APRN
Nurse Practitioner
NPI 1700540317
John Harrison , APRN
Nurse Practitioner
NPI 1467939975
Megan Hawley
Registered Nurse
NPI 1275168098
Jamie Hawthorne , RN
Registered Nurse
NPI 1821622002
Erik Jacobsen , MD
Family Medicine
NPI 1376588210
Specialties
Specialist/Technologist, Other
Primary
Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
TX license #SA00281 taxonomy 246ZS0410X
Identifiers
Type Value Notes
01 (TX)
0055FL
BCBSTX
01 (TX)
SA00281
LICENSE NUMBER
Practice context
Multi-provider organization.
20 individual providers 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.