Organization Active NPI

Team Surgical Assist, PLLC

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1083896633
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02118 Issued in TX
Legal business name
TEAM SURGICAL ASSIST, PLLC
Practice address
407 Craigmont LN
San Antonio, TX 78213-3837
Phone
(210) 269-9979
Fax
(210) 979-6011
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Tamara Toombs, PHYSICIAN ASSISTANTNPI 1972693893
Title
Owner
Phone
(210) 269-9979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA02118 TX Primary

Addresses

Primary practice location

407 Craigmont LN
San Antonio, TX 78213-3837

Mailing address

407 Craigmont LN
San Antonio, TX 78213-3837
Phone (210) 269-9979

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1083896633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CRAIGMONT LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133837",
            "telephone_number": "210-269-9979",
            "fax_number": "210-979-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CRAIGMONT LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133837",
            "telephone_number": "210-269-9979",
            "fax_number": "210-979-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM SURGICAL ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "TOOMBS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-269-9979",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.