Active NPI
Eduardo Francisco Limonta, MPAS/PHD
- Medical Physician Assistant
- Conroe, TX
National Provider Identifier
1043236763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 2994
- Practice address
- 690 S Loop 336 W Ste 300
Conroe, TX 77304-3320 - Phone
- (936) 522-4000
- Fax
- (936) 522-4020
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 2994 | FL | Primary |
Addresses
Primary practice location
690 S Loop 336 W Ste 300
Conroe, TX 77304-3320
Mailing address
364 Old Aqua Landing West
Montgomery, TX 77356
Phone (912) 230-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 2994 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1043236763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 OLD AQUA LANDING WEST",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "77356",
"telephone_number": "912-230-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W STE 300",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-522-4000",
"fax_number": "936-522-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMONTA",
"first_name": "EDUARDO",
"middle_name": "FRANCISCO",
"name_prefix": "Dr.",
"credential": "MPAS/PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 2994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.