Organization Active NPI

Tsa Medservices, PLLC

  • Anesthesiology Physician
  • Southlake, TX
National Provider Identifier
1447680038
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TSA MEDSERVICES, PLLC
Practice address
2140 East Southlake Blvd,
Suite L-696
Southlake, TX 76092
Phone
(972) 707-0005
Fax
(888) 992-6199
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Monique Washington
Title
Manager
Phone
(972) 707-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2140 East Southlake Blvd,
Suite L-696
Southlake, TX 76092

Mailing address

2140 East Southlake Blvd,
Suite L-696
Southlake, TX 76092
Phone (972) 707-0005

National Provider Directory

National Provider Directory

Locations

2140 E Southlake Blvd
Ste L696
Southlake, TX 76092
Phone (972) 707-0005

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1447680038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 EAST SOUTHLAKE BLVD,",
            "address_2": "SUITE L-696",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 EAST SOUTHLAKE BLVD,",
            "address_2": "SUITE L-696",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSA MEDSERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-707-0005"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.