Advantage Surgical and Wound Care Texas PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA

Practice address

1011 Mainland Center Dr
Texas City, TX 77591-1402

Phone

(877) 878-3289

Fax

(877) 817-3227

NPI assigned

Dec 27, 2021

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uri Gedalia, MD

Title

President

Phone

(713) 885-5885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1043970445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 1420",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455648",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAINLAND CENTER DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911402",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GEDALIA",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-885-5885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dru Abrego, PA-C
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• Siddhartha Arjundeva Acharya, MD
• Adapt Programs, LLC
• Alexandra Malerie Aguero
• Lycia D Aguiar
• Jameela Ahmeduddin, MD
• Divine Ajong, RN
• Aka Home, LLC

• Surgery Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.