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

Kendall Polk, CSFA

Individual provider Surgical Technologist · NPI 1285009803

Kendall Polk, CSFA is a Surgical Technologist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
4

Practice location Address checks out

205 Crenshaw Dr
Mansfield, TX 76063-3451
Phone: (214) 927-6539
Fax: (817) 394-1231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00635 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence SA00635 (TX)
Surgery Physician Taxonomy 208600000X · Licence SA00635 (TX)
Orthopedic Assistant Taxonomy 246ZX2200X · Licence SA00635 (TX)

Record details

NPI number1285009803
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedDecember 8, 2015
Last updated in NPPESJune 16, 2018
Mailing address3540 E. Braod St. Ste 102#237, Mansfield, TX 76063-9157