Sentry Surgical Assistants

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

09-136 Issued in TX

Legal business name

SENTRY SURGICAL ASSISTANTS

Practice address

12127 Wortham Landing Dr
Houston, TX 77065-5212

Phone

(409) 771-2237

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos De Leon, SA-C

Title

Surgical Assistant Certified

Phone

(409) 771-2237

Specialties & licenses 1

Addresses

Other names 1

• Sentry Surgical Assistants Doing business as

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1386068294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 WORTHAM LANDING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655212",
            "telephone_number": "409-771-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 WORTHAM LANDING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655212",
            "telephone_number": "409-771-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT CERTIFIED",
        "authorized_official_telephone_number": "409-771-2237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "09-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentry Surgical Assistants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Technologist in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.