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

Surgical Specialty Physicians, PA

Organization Specialist · NPI 1417133364

Surgical Specialty Physicians, PA is a Specialist in Plano, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6124 W Parker Rd Ste 436
Plano, TX 75093-8125
Phone: (972) 608-3356
Fax: (972) 608-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M2579 (TX)

Record details

NPI number1417133364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Kozacek — Manager · (972) 608-3356
NPI enumeratedJanuary 10, 2008
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address6124 W Parker Rd Ste 436, Plano, TX 75093-8125

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