Organization Active NPI

West Gray Center for Special Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1366827958
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST GRAY CENTER FOR SPECIAL SURGERY, LLC
Practice address
1355 W Gray St
Houston, TX 77019-4019
Phone
(713) 522-5111
Fax
(713) 522-6111
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Stephanie Johnson, RN,BSN
Title
Administrator
Phone
(713) 522-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1355 W Gray St
Houston, TX 77019-4019

Mailing address

1355 W Gray St
Houston, TX 77019-4019
Phone (713) 522-5111

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2101044West Gray Center for Special Surgery1355 W Gray Street Suite 102, Houston, TX 77019Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1366827958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194019",
            "telephone_number": "713-522-5111",
            "fax_number": "713-522-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194019",
            "telephone_number": "713-522-5111",
            "fax_number": "713-522-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GRAY CENTER FOR SPECIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-522-5111",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "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 Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.