Texas Surgical Ally

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00468 Issued in TX

Legal business name

TEXAS SURGICAL ALLY

Practice address

6677 Friendsway Dr
Fort Worth, TX 76137

Phone

(832) 457-8868

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Burk, LSANPI 1841560091

Title

Owner

Phone

(832) 457-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie D. Burk, LSA

  • Surgical Assistant
  • Sugar Land, TX
  • NPI 1841560091
  NPD Authorized official

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447789896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 FRIENDSWAY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377541",
            "telephone_number": "832-457-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 FRIENDSWAY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "832-457-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SURGICAL ALLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-457-8868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0089YL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Reproductive Center LLC
• Texas RHH, LLC
• Texas Spinal Associates, LLC
• Texas Spine Consultants, LLP
• Texas Standard Medical PLLC
• Texas THCP Operations, LP (Texas Health Care Pharmacy)
• Texas Treatment Services
• Texas Treatment Services LLC (Brentwood Treatment Services)
• Texas Treatment Services, LLC
• Texas United Health Clinic

• Surgical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.