Texas Professional First Assistance,LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

87458 Issued in TX

Legal business name

TEXAS PROFESSIONAL FIRST ASSISTANCE,LLC

Practice address

204 Deercreek LN
Leander, TX 78641-7819

Phone

(512) 557-6433

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Timothy Shawn Dehart, CSFANPI 1043401292

Title

President

Phone

(512) 557-6433

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Surgical Assistants LCC Doing business as

Practitioners 1

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

• Timothy Shawn Dehart, CSFA

  • Surgical Assistant
  • Leander, TX
  • NPI 1043401292
  NPD (past) Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104340058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DEERCREEK LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417819",
            "telephone_number": "512-557-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DEERCREEK LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417819",
            "telephone_number": "512-557-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PROFESSIONAL FIRST ASSISTANCE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-557-6433",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "87458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Surgical Assistants LCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Assistant in Leander, TX
• Providers in Leander, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.