Active NPI
Lone Star Neurosurgical Assistants
- Surgical Physician Assistant
- Westlake, TX
National Provider Identifier
1144746561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- LONE STAR NEUROSURGICAL ASSISTANTS
- Practice address
- 1270 Casa Bella CT
Westlake, TX 76262 - Phone
- (469) 878-4021
- NPI assigned
- Aug 17, 2017
- Last updated
- Aug 17, 2017
- 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
- Abdolreza Siadati
- Title
- President
- Phone
- (469) 878-4021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
1270 Casa Bella CT
Westlake, TX 76262
Mailing address
1270 Casa Bella CT
Westlake, TX 76262
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502928000000",
"number": "1144746561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 CASA BELLA CT",
"city": "WESTLAKE",
"state": "TX",
"postal_code": "76262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 CASA BELLA CT",
"city": "WESTLAKE",
"state": "TX",
"postal_code": "76262",
"telephone_number": "469-878-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR NEUROSURGICAL ASSISTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2017-08-17",
"status": "A",
"authorized_official_last_name": "SIADATI",
"authorized_official_first_name": "ABDOLREZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-878-4021"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.