Organization Active NPI

Arsenal Surgical Alliance LLC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1306296199
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ARSENAL SURGICAL ALLIANCE LLC
Practice address
9777 W Gulf Bank Rd
Ste 5
Houston, TX 77040-3132
Phone
(281) 970-5900
Fax
(281) 970-5913
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Anthony Hicks
Title
Manager
Phone
(281) 970-5900

Specialties & licenses 1

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

Addresses

Primary practice location

9777 W Gulf Bank Rd
Ste 5
Houston, TX 77040-3132

Mailing address

9777 W Gulf Bank Rd Ste 5
Houston, TX 77040
Phone (281) 970-5900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1306296199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 W GULF BANK RD STE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77040",
            "telephone_number": "281-970-5900",
            "fax_number": "281-970-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 W GULF BANK RD",
            "address_2": "STE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770403132",
            "telephone_number": "281-970-5900",
            "fax_number": "281-970-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARSENAL SURGICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-970-5900"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "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 Mar 1, 2017; 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.