Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Texas First Surgical Support PLLC

Organization Surgery Physician · NPI 1568009058

East Texas First Surgical Support PLLC is a Surgery Physician in Tyler, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3414 Golden Rd
Tyler, TX 75701-8336
Phone: (210) 598-4262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1568009058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Kaminski — Manager · (903) 939-7792
NPI enumeratedDecember 4, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339

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