Sure Hands Surgical Assisting LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4081 Issued in TX

Legal business name

SURE HANDS SURGICAL ASSISTING LLC

Practice address

2126 Beacon Light LN
Fresno, TX 77545-7089

Phone

(832) 428-1862

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Michael J. Tubbs, CSANPI 1225442551

Title

Owner

Phone

(832) 428-1862

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jerome Tubbs, CSA

  • Surgical Assistant
  • Fresno, TX
  • NPI 1225442551
  NPD (past) Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1053847384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 BEACON LIGHT LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457089",
            "telephone_number": "832-428-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 BEACON LIGHT LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457089",
            "telephone_number": "832-428-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE HANDS SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-428-1862",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDL",
            "identifier": "14597320",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Fresno, TX
• Providers in Fresno, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.