Individual provider · Type 1 NPI

Garry Wayne Wickliffe Jr., LSA, CST

Surgical Assistant · Tyler, TX

NPI number 1336724236 Active

Practice location

704 S Fleishel Ave
Tyler, TX 75701-2014

Call (903) 646-5350 Map

Mailing address

2320 Kaynell Dr
Henderson, TX 75654-4718

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XSA00957 (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 1336724236

Garry Wayne Wickliffe Jr., LSA, CST's National Provider Identifier is 1336724236, issued on Mar 11, 2021. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Tyler, TX. The record was last updated on Mar 31, 2024.