Active NPI
Principal Surgical Assistants LLC
- Surgical Physician Assistant
- Houston, TX
National Provider Identifier
1093068934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PRINCIPAL SURGICAL ASSISTANTS LLC
- Practice address
- 3611 Burning Palms CT
Houston, TX 77042-4232 - Phone
- (281) 463-6309
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole La
- Title
- Authorized Official
- Phone
- (281) 463-6309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
3611 Burning Palms CT
Houston, TX 77042-4232
Mailing address
3611 Burning Palms CT
Houston, TX 77042-4232
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1093068934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 BURNING PALMS CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770424232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 BURNING PALMS CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770424232",
"telephone_number": "281-463-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCIPAL SURGICAL ASSISTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "LA",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "281-463-6309",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.