Organization Active NPI

West Houston Aesthetic and Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Westlake, TX
National Provider Identifier
1326558594
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
WEST HOUSTON AESTHETIC AND PLASTIC SURGERY PLLC
Practice address
1717 Wisteria Way
Westlake, TX 76262-9083
Phone
(713) 818-5367
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Elaine Ewing Ver Halen, MPAS, PA-C
Title
Physician Assistant
Phone
(713) 818-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1717 Wisteria Way
Westlake, TX 76262-9083

Mailing address

PO Box 1242
Roanoke, TX 76262-1242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1326558594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1242",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762621242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WISTERIA WAY",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762629083",
            "telephone_number": "713-818-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOUSTON AESTHETIC AND PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VER HALEN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "EWING",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "713-818-5367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPAS, PA-C"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.