Pro Ally Surgical

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00477 Issued in TX

Legal business name

PRO ALLY SURGICAL

Practice address

315 Addicks Howell Rd Unit 940561
Houston, TX 77094-2323

Phone

(305) 972-1002

NPI assigned

Feb 25, 2014

Last updated

Oct 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry PaniaguaNPI 1972621993

Title

President

Phone

(305) 972-1002

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry Paniagua, LSA

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1972621993

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1164847323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ADDICKS HOWELL RD UNIT 940561",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770942323",
            "telephone_number": "305-972-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ADDICKS HOWELL RD UNIT 940561",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770942323",
            "telephone_number": "305-972-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ALLY SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "PANIAGUA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-972-1002"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00477",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• PRN Medical Supply Inc
• PRN Mobile Medical Services Inc (PRN Ambulance Service)
• Pro Care Corporation
• Pro Health RX
• Pro Health Solutions Inc (Professional Health Solutions)
• Pro Med EMS Incorporated
• Pro Med Pharmacy

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; 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.