NPIMap

Organization Active NPI

Correa Surgical Assistants, LLC

  • Surgical Physician Assistant
  • Cypress, TX
National Provider Identifier
1255874178
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00168 Issued in TX
Legal business name
CORREA SURGICAL ASSISTANTS, LLC
Practice address
8022 Oxbow Manor LN
Cypress, TX 77433-0162
Phone
(713) 614-4465
Fax
(832) 674-7284
NPI assigned
Nov 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Authorized official

Name
Mr. Jorge Alfonso Correa, LSANPI 1710005392
Title
Owner
Phone
(713) 614-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00168 TX Primary

Addresses

Primary practice location

8022 Oxbow Manor LN
Cypress, TX 77433-0162

Mailing address

8022 Oxbow Manor LN
Cypress, TX 77433-0162
Phone (713) 614-4465

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480032000000",
    "number": "1255874178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 OXBOW MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330162",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 OXBOW MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330162",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORREA SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-25",
        "last_updated": "2016-11-25",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-614-4465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.