Contact Surface customer support or Nvidia customer support - it can be something small you won´t come up with easly. Generally (so I was told) if the card is gone under the hardware manager without you having unistalled something, it ain´t looking good. Check there under "hidden devices" too (under view). It´s important if it shows there. If some strangely named card shows under the manager, that´s important too.
The Surface customer support can remotly access your laptop and run diagnositics and check BIOS etc. Do try it out before sending your laptop in. I had a different issue with the camera suddenly vanishing, they fixed it for me in no time.