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

Michael P Humiston, LSA

Individual provider Surgical Assistant · NPI 1225568686

Michael P Humiston, LSA is a Surgical Assistant in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2700 E Broad St
Mansfield, TX 76063-5899
Phone: (214) 227-2457
Fax: (214) 764-0880
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00702 (TX)
Surgical Assistant Taxonomy 246ZC0007X · Licence 175048

Record details

NPI number1225568686
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedJune 18, 2017
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing addressPo Box 2550, Rowlett, TX 75030-2550

Other providers in Mansfield