NPIMap

Organization Active NPI

JK Surgery, P.a.

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1104996149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
F1071 Issued in TX
Legal business name
JK SURGERY, P.A.
Practice address
9180 Old Katy Rd
Suite 202
Houston, TX 77055-7454
Phone
(713) 647-7700
Fax
(713) 647-8090
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack Edward Jensen, M.D.
Title
Manager
Phone
(713) 647-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X F1071 TX Primary

Addresses

Primary practice location

9180 Old Katy Rd
Suite 202
Houston, TX 77055-7454

Mailing address

9180 Old Katy Rd
Suite 202
Houston, TX 77055-7454
Phone (713) 647-7700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104996149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 OLD KATY RD",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557454",
            "telephone_number": "713-647-7700",
            "fax_number": "713-647-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 OLD KATY RD",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557454",
            "telephone_number": "713-647-7700",
            "fax_number": "713-647-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-647-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "F1071",
            "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 22, 2020; 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.