Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Surgical Associates of East Texas, LLP

Family Nurse Practitioner in Tyler, TX · enumerated 2006 · authorized official Charles Lee, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417055005

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Registry record

Entity type Organization (Type 2)

Legal business name Surgical Associates of East Texas, LLP

Practice address 704 S Fleishel Ave, Tyler, TX, 75701

Phone (903) 595-6680

Fax (903) 592-1934

Enumeration date Sep 20, 2006

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Charles Lee

Title Partner

Phone (903) 595-6680

Other identifiers

Identifier	Type	State	Issuer
CD3048	Other	TX	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Surgical Associates of East Texas, LLP located?

The practice location on file with NPPES is in Tyler, TX.

Providers at this address

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Garry Wickliffe Surgical Assistant · Tyler, TX NPI 1336724236

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.