Organization Active NPI

Nelson Mobak L.P.

  • Surgical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1164544318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00083 Issued in TX
Legal business name
NELSON MOBAK L.P.
Practice address
19901 Southwest Fwy
Suite #134
Sugar Land, TX 77479-6538
Phone
(832) 704-3911
Fax
(281) 207-5484
NPI assigned
Apr 6, 2007
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
Mr. Estuardo Mota, SA
Title
Certified Surgical Assistant
Phone
(832) 704-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA00083 TX Primary

Addresses

Primary practice location

19901 Southwest Fwy
Suite #134
Sugar Land, TX 77479-6538

Mailing address

PO Box 16548
Sugar Land, TX 77496-6548
Phone (832) 704-3911

National Provider Directory

National Provider Directory

Locations

19901 Southwest Fwy
Ste 134
Sugar Land, TX 77479
Phone (832) 704-3911

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164544318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16548",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966548",
            "telephone_number": "832-704-3911",
            "fax_number": "281-207-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 SOUTHWEST FWY",
            "address_2": "SUITE #134",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796538",
            "telephone_number": "832-704-3911",
            "fax_number": "281-207-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON MOBAK L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTA",
        "authorized_official_first_name": "ESTUARDO",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "832-704-3911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, 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.