Individual provider · Type 1 NPI

Kendall Polk, CSFA

Surgical Assistant · Mansfield, TX

NPI number 1285009803 Active

Practice location

205 Crenshaw Dr
Mansfield, TX 76063-3451

Fax (817) 394-1231

Mailing address

3540 E. Braod St. Ste 102#237
Mansfield, TX 76063-9157

Specialties and licenses

TaxonomyCodeLicense
Surgical Technologist 246ZS0410XSA00635 (TX)
Surgery Physician 208600000XSA00635 (TX)
Orthopedic Assistant 246ZX2200XSA00635 (TX)
Surgical Assistant Primary 246ZC0007XSA00635 (TX)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1285009803

Kendall Polk, CSFA's National Provider Identifier is 1285009803, issued on Dec 8, 2015. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Mansfield, TX. The record was last updated on Jun 16, 2018.