NPIMap

Organization Active NPI

TLC Surgical Management, LLC

  • Surgical Physician Assistant
  • Tomball, TX
National Provider Identifier
1114218054
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00350 Issued in TX
Legal business name
TLC SURGICAL MANAGEMENT, LLC
Practice address
934 Arbor Pne
Tomball, TX 77375-4183
Phone
(832) 887-9037
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Timothy RosilezNPI 1174900328
Title
Memeber
Phone
(832) 887-9037

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: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA00350 TX Primary

Addresses

Primary practice location

934 Arbor Pne
Tomball, TX 77375-4183

Mailing address

PO Box 692186
Houston, TX 77269-2186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1114218054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692186",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772692186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ARBOR PNE",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754183",
            "telephone_number": "832-887-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC SURGICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "ROSILEZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "832-887-9037"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.