Organization Active NPI

JB Surgical Inc

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1164904645
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
JB SURGICAL INC
Practice address
12955 Willow Place Dr W # 691789
Houston, TX 77070-5651
Phone
(281) 653-2924
NPI assigned
Aug 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Jaime Barillas, LSA
Title
Owner
Phone
(832) 633-0099

Specialties & licenses 1

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

Addresses

Primary practice location

12955 Willow Place Dr W # 691789
Houston, TX 77070-5651

Mailing address

PO Box 691789
Houston, TX 77269-1789
Phone (281) 653-2924

Other names 1

  • JB Surgical Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

12955 Willow Place Dr W
#691789
Houston, TX 77070

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1164904645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691789",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691789",
            "telephone_number": "281-653-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 WILLOW PLACE DR W # 691789",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705651",
            "telephone_number": "281-653-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "BARILLAS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-633-0099",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JB Surgical Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 31, 2018; 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.