East Texas First Surgical Support Pllc

NPI #1568009058 in Tyler, Texas

Provider Information

NPI Number: 1568009058
Entity Type: Organization
Organization Name: East Texas First Surgical Support Pllc
Primary Specialty: Surgery
Enumeration Date: Dec 4, 2019
Last Updated: Sep 7, 2023

Practice Location

Address: 3414 GOLDEN RD
City: Tyler
State: Texas
ZIP Code: 75701-8336
Phone: (210) 598-4262

Authorized Official

Name: KEN KAMINSKI
Title: MANAGER
Phone: (903) 939-7792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Surgery	208600000X	Primary

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