Organization Active NPI

Advanced Surgical Wellness

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1326108622
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E7942 Issued in TX
Legal business name
ADVANCED SURGICAL WELLNESS
Practice address
2105 Jackson St
Houston, TX 77003-5839
Phone
(281) 620-2133
Fax
(713) 691-1273
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. William Garrett, M.D.
Title
President
Phone
(281) 620-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E7942 TX Primary

Addresses

Primary practice location

2105 Jackson St
Houston, TX 77003-5839

Mailing address

133 N Friendswood Dr # 303
Friendswood, TX 77546-3746
Phone (281) 620-2133

Other identifiers 1

IdentifierTypeStateIssuer
122248127MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1326108622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N FRIENDSWOOD DR # 303",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463746",
            "telephone_number": "281-620-2133",
            "fax_number": "713-691-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035839",
            "telephone_number": "281-620-2133",
            "fax_number": "713-691-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-620-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E7942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122248127",
            "state": "TX"
        }
    ],
    "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 Jun 16, 2008; 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.