Organization Active NPI

Terry W. Edwards Lsa, Inc.

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1235378274
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00256 Issued in TX
Legal business name
TERRY W. EDWARDS LSA, INC.
Practice address
16211 Clay Rd Ste 106207
Houston, TX 77084-5435
Phone
(281) 463-6309
Fax
(281) 463-6835
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Terry W Edwards, LSA
Title
Owner
Phone
(281) 463-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00256 TX Primary

Addresses

Primary practice location

16211 Clay Rd Ste 106207
Houston, TX 77084-5435

Mailing address

16211 Clay Rd Ste 106207
Houston, TX 77084-5435
Phone (281) 463-6309

National Provider Directory

National Provider Directory
Tax ID family
Terry W Edwards Lsa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16211 Clay Rd
Ste 106207
Houston, TX 77084

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1235378274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 CLAY RD STE 106207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845435",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16211 CLAY RD STE 106207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845435",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY W. EDWARDS LSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00256",
            "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 Feb 16, 2009; 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.