MRS. CHANDA NICOSIA, CSFA/LSA

Physician Assistant - Surgical

Active Individual
NPI: 1316114655

Practice Address

13674 ARIZONA DR
Tyler, TX 75707

Phone: (903) 216-3561

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes -
Specialist/Technologist, Other - Surgical Assistant 246ZC0007X No SA00471 (TX)

Frequently Asked Questions

NPI 1316114655 is the National Provider Identifier for MRS. CHANDA NICOSIA, CSFA/LSA, a Physician Assistant - Surgical provider located in Tyler, TX. This NPI was enumerated on May 15, 2008.
MRS. CHANDA NICOSIA, CSFA/LSA practices at 13674 ARIZONA DR, Tyler, TX 75707.

Quick Facts

NPI
1316114655
Type
Individual
Enumerated
May 15, 2008
Last Updated
Nov 18, 2015

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