Active NPI
Physician Assistant Services of Texas L.L.P
- Surgical Physician Assistant
- Waco, TX
National Provider Identifier
1184870701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P
- Practice address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Phone
- (254) 751-4000
- NPI assigned
- Aug 14, 2008
- 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
- Mr. Lonnie James Ginn, PA-C
- Title
- Owner
- Phone
- (972) 280-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Waco, TX 76712-7910
Mailing address
PO Box 93175
Southlake, TX 76092-1175
Phone (972) 280-0080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1184870701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93175",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921175",
"telephone_number": "972-280-0080",
"fax_number": "972-280-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "254-751-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "GINN",
"authorized_official_first_name": "LONNIE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-280-0080",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.