Organization Active NPI

Umbrella Surgical Support, LC

  • Surgical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1447507157
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
UMBRELLA SURGICAL SUPPORT, LC
Practice address
1111 Old Oyster TRL
Sugar Land, TX 77478-4537
Phone
(832) 637-7127
Fax
(713) 583-3047
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Mrs. Regina Michelle Gallardo
Title
Accounts Billing Manager
Phone
(832) 637-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1111 Old Oyster TRL
Sugar Land, TX 77478-4537

Mailing address

1111 Old Oyster TRL
Sugar Land, TX 77478-4537
Phone (832) 637-7127

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1447507157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OLD OYSTER TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784537",
            "telephone_number": "832-637-7127",
            "fax_number": "713-583-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OLD OYSTER TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784537",
            "telephone_number": "832-637-7127",
            "fax_number": "713-583-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA SURGICAL SUPPORT, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ACCOUNTS BILLING MANAGER",
        "authorized_official_telephone_number": "832-637-7127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.