Organization Active NPI

Spinal Associates of Texas LLC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1164855094
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00100 Issued in TX
Legal business name
SPINAL ASSOCIATES OF TEXAS LLC
Practice address
3740 Greenbriar St Unit 540774
Houston, TX 77254-0869
Phone
(281) 463-6309
NPI assigned
Aug 14, 2013
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Mr. Trey Trosclair
Title
Owner
Phone
(281) 463-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00100 TX Primary

Addresses

Primary practice location

3740 Greenbriar St Unit 540774
Houston, TX 77254-0869

Mailing address

3740 Greenbriar St Unit 540774
Houston, TX 77254-0869

National Provider Directory

National Provider Directory

Locations

3740 Greenbriar St
Unit 540774
Houston, TX 77254

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1164855094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 GREENBRIAR ST UNIT 540774",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 GREENBRIAR ST UNIT 540774",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540869",
            "telephone_number": "281-463-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL ASSOCIATES OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "TROSCLAIR",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00100",
            "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 19, 2014; 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.