NPIMap

Organization Active NPI

Sharp Surgical

  • Surgical Physician Assistant
  • Spring, TX
National Provider Identifier
1073968210
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SHARP SURGICAL
Practice address
30715 Ginger Trace Dr
Spring, TX 77386-4021
Phone
(281) 210-9934
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Mr. Eleazar Flores, LSA
Title
Owner
Phone
(281) 210-9934

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X SA00652 TX
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

30715 Ginger Trace Dr
Spring, TX 77386-4021

Mailing address

PO Box 2126
Spring, TX 77383-2126
Phone (281) 210-9934

National Provider Directory

National Provider Directory
Tax ID family
Sharp Surgical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1073968210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2126",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773832126",
            "telephone_number": "281-210-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 GINGER TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864021",
            "telephone_number": "281-210-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ELEAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-210-9934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "SA00652",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.