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

Squire Surgical Services PLLC

Organization Surgical Physician Assistant · NPI 1114451614

Squire Surgical Services PLLC is a Surgical Physician Assistant in Southlake, Texas. Registered with an NPI since 2017.

In the registry since
2017
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

2004 Vail Rd
Southlake, TX 76092-3849
Phone: (817) 683-5826
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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

Record details

NPI number1114451614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Lowe — Billing Manager · (817) 683-5826
NPI enumeratedApril 12, 2017
Last updated in NPPESApril 12, 2017
Mailing address2004 Vail Rd, Southlake, TX 76092-3849

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