Boutros Surgical Associates PA

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

M2633 Issued in TX

Legal business name

BOUTROS SURGICAL ASSOCIATES PA

Practice address

6400 Fannin St Ste 2290
Houston, TX 77030-1543

Phone

(713) 791-0700

Fax

(713) 791-0703

NPI assigned

May 10, 2011

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean G Boutros, MDNPI 1154319598

Title

Doctor/Owner

Phone

(713) 791-0700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Boutros, MD

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
  • NPI 1154319598
  Authorized official Same address or phone

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1295027183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301543",
            "telephone_number": "713-791-0700",
            "fax_number": "713-791-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301543",
            "telephone_number": "713-791-0700",
            "fax_number": "713-791-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTROS SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "713-791-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "M2633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie German Bournigal, M.ED., LPC
• Peggy Bourque, MSN, RN, CS, ENP
• Rosemary Drysdale Bouse, PA-C
• Mohammed Bousofa, CRNA
• Arianna Michelle Boutin, AUD
• George Boutros, M.D.
• Michael Boutros
• Boutros, PA
• Samiha Boutros, MA, LPC
• Sean Boutros, MD

• Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.