Organization Active NPI

Lonestar Surgical Assistant Services LLC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1003154188
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00334 Issued in TX
Legal business name
LONESTAR SURGICAL ASSISTANT SERVICES LLC
Practice address
16151 Cairnway Dr
Suite 100
Houston, TX 77084-3550
Phone
(281) 463-6309
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chris Ortiz
Title
Authorized Official
Phone
(281) 463-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00334 TX Primary

Addresses

Primary practice location

16151 Cairnway Dr
Suite 100
Houston, TX 77084-3550

Mailing address

21175 Tomball Pkwy
PMB 122
Houston, TX 77070-1655

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1003154188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY",
            "address_2": "PMB 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 CAIRNWAY DR",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843550",
            "telephone_number": "281-463-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR SURGICAL ASSISTANT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.