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

Mrs. Chanda Lea Nicosia, CSFA/LSA

Individual provider Surgical Physician Assistant · NPI 1316114655

Mrs. Chanda Lea Nicosia, CSFA/LSA is a Surgical Physician Assistant in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

13674 Arizona Dr
Tyler, TX 75707-6806
Phone: (903) 216-3561
Fax: (903) 566-6816
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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 number1316114655
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA/LSA
Sole proprietorYes
NPI enumeratedMay 15, 2008
Last updated in NPPESNovember 18, 2015

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