NPIMap

Organization Active NPI

Missouri City Sa Services LLC

  • Specialist
  • Richmond, TX
National Provider Identifier
1083367197
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MISSOURI CITY SA SERVICES LLC
Practice address
11227 Sardinia Dr
Richmond, TX 77406-5100
Phone
(832) 277-0500
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mr. Jaime Olmo
Title
Manager
Phone
(832) 277-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11227 Sardinia Dr
Richmond, TX 77406-5100

Mailing address

9119 Highway 6 PO Box 162
Ste 230
Missouri City, TX 77459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1083367197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 PO BOX 162",
            "address_2": "STE 230",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 SARDINIA DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065100",
            "telephone_number": "832-277-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI CITY SA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "OLMO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-277-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.