Individual provider Active NPI

Tomas Antonio Carbonell Lazo, SA-C

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1366247181
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
25-154 Issued in TX
Practice address
8255 Sunbury LN Apt 408
Houston, TX 77095-2420
Phone
(346) 507-7748
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 25-154 TX Primary

Addresses

Primary practice location

8255 Sunbury LN Apt 408
Houston, TX 77095-2420

Mailing address

8255 Sunbury LN Apt 408
Houston, TX 77095-2420
Phone (346) 507-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-154TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1366247181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 SUNBURY LN APT 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952420",
            "telephone_number": "346-507-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 SUNBURY LN APT 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952420",
            "telephone_number": "346-507-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL LAZO",
        "first_name": "TOMAS",
        "middle_name": "ANTONIO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "25-154",
            "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 Feb 17, 2025; 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.