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Garry Wickliffe, LSA, CST
NPI 1336724236 · on the registry since 2021
Practice
- Address
- 704 S Fleishel Ave
Tyler, TX 75701 - Phone
- (903) 646-5350
- Organisation at this address
- Surgical Associates Of East Texas, Llp
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Surgical Assistant
246ZC0007X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas