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

Nicosia Enterprises LLC

Organization Surgical Assistant · NPI 1821419011

Nicosia Enterprises LLC is a Surgical Assistant in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13674 Arizona Dr
Tyler, TX 75707-6806
Phone: (903) 566-6816
Fax: (972) 268-6014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X · Licence SA00471 (TX)

Record details

NPI number1821419011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chanda Nicosia — Owner · (903) 566-6816
NPI enumeratedDecember 15, 2013
Last updated in NPPESNovember 18, 2015
Mailing address13674 Arizona Dr, Tyler, TX 75707-6806

Other providers in Tyler