Active NPI
Advanced Surgical Wellness
- Medical Specialty Clinic/Center
- Houston, TX
National Provider Identifier
1326108622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- E7942
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122248127 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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
- Advanced Research and Diagnostics PLLC
- Advanced Script Inc
- Advanced Spinal Treatment Center
- Advanced Stroke Rehabilitation in Houston LLC
- Advanced Surgeons & Physicians Network, Inc.
- Advanced Surgical Wellness
- Advanced Ultrasound Imaging PLLC
- Advanced US Radiology
- Advanced Wellness Care PLLC
- Advanced X-Press X-Ray, LLC
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.