Daeva Surgical Limited Liability

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

DAEVA SURGICAL LIMITED LIABILITY

Practice address

11126 Chelsea Oak St
Houston, TX 77065-5478

Phone

(832) 384-8910

Fax

(832) 575-4762

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

David Gutierrez, LSA

Title

Owner

Phone

(832) 493-0969

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Miguel Martin Gutierrez, LSA

  • Surgery Physician
  • Houston, TX
  • NPI 1407170368
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1265033252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 CHELSEA OAK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655478",
            "telephone_number": "832-384-8910",
            "fax_number": "832-575-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 CHELSEA OAK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655478",
            "telephone_number": "832-384-8910",
            "fax_number": "832-575-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEVA SURGICAL LIMITED LIABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-493-0969",
        "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": []
}

• Nisa Dadjoo, DDS, MSD
• David Dadoun, DMD
• Ramona Dadu, MD
• Razvan T Dadu, M.D.
• Robin David Daemmrich, MD
• Melissa Rene Dafler, PT, ATP
• Dafonte Medical Services, LLC
• Dafyik Healthcare Services
• Dominique Dagdag, MD
• Folasade Dage

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, 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 Nov 5, 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.