Pasadena Surgical Assistant

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00448 Issued in TX

Legal business name

PASADENA SURGICAL ASSISTANT

Practice address

2607 Dixie Woods Dr
Pearland, TX 77581-5896

Phone

(832) 406-2427

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

William Hernandez Hernandez, LSA

Title

Owner

Phone

(832) 406-2427

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1235569906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34292",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772344292",
            "telephone_number": "832-406-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 DIXIE WOODS DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815896",
            "telephone_number": "832-406-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA SURGICAL ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-406-2427",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD - SURGICAL ASSISTANT'S PERMIT",
            "identifier": "SA00448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.