NPIMap

Organization Active NPI

Sharp Surgical

  • Surgical Physician Assistant
  • Spring, TX
National Provider Identifier
1194325993
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SHARP SURGICAL
Practice address
30715 Ginger Trace Dr
Spring, TX 77386-4021
Phone
(281) 210-9934
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Eleazar Flores, LSA
Title
Surgical Assistant
Phone
(281) 210-9934

Specialties & licenses 1

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

Addresses

Primary practice location

30715 Ginger Trace Dr
Spring, TX 77386-4021

Mailing address

PO Box 2126
Spring, TX 77383-2126
Phone (281) 210-9934

National Provider Directory

National Provider Directory
Tax ID family
Sharp Surgical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1194325993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2126",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773832126",
            "telephone_number": "281-210-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 GINGER TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864021",
            "telephone_number": "281-210-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ELEAZAR",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "281-210-9934",
        "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": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.