Organization Active NPI

Space Center Sa Services, Inc

  • Specialist
  • Houston, TX
National Provider Identifier
1104180140
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPACE CENTER SA SERVICES, INC
Practice address
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone
(713) 779-9800
Fax
(713) 779-9862
NPI assigned
Jun 25, 2012
Organization subpart
Yes
Parent organization
AMERICAN SURGICAL HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mr. David P Richardson
Title
Cfo
Phone
(713) 779-9800

Specialties & licenses 1

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

Addresses

Primary practice location

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053

Mailing address

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 779-9800

National Provider Directory

National Provider Directory
Tax ID family
American Surgical Holdings2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1104180140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "713-779-9800",
            "fax_number": "713-779-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "713-779-9800",
            "fax_number": "713-779-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE CENTER SA SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SURGICAL HOLDINGS",
        "enumeration_date": "2012-06-25",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-779-9800",
        "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.