OrganizationActive
Dynamic Surgical Assistants of Texas
NPI 1114479466 · Surgical Assistant · Fresno, TX
Provider details
- NPI number
- 1114479466
- Entity type
- Organization
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Keith Wilson, Licensed Surgical Assistant(281) 509-2017
- License
- SA00410 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2503 Robin Knoll Ct
Fresno, TX 77545-8167
Phone: (281) 509-2017
Street-level locationGet directions
Mailing address
2503 Robin Knoll Ct
Fresno, TX 77545-8167
Registry dates
- Enumerated
- 2016-11-02
- Last updated
- 2016-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.