Glen Creek Surgical Partners, PLLC
NPI 1861906083ActiveOrganization· Physician Assistant, Surgical· Dallas, TX
Physician Assistant, Surgical in Dallas, Texas, registered in NPPES in November 2017. The authorized official on file is Andrew Dossett, Manager.
Overview
| NPI | 1861906083 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2017 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
| Clinical Nurse Specialist, Medical-Surgical | 364SM0705X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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