Longboard Surgical Associates, PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LONGBOARD SURGICAL ASSOCIATES, PA

Practice address

4120 Southwest Fwy
200
Houston, TX 77027-7339

Phone

(713) 355-8600

Fax

(713) 355-8069

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Jodie R Ellis

Title

Business Office Coordinator

Phone

(713) 355-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1457483299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122141",
            "address_2": "DEPT 2141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "713-355-8600",
            "fax_number": "713-355-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-355-8600",
            "fax_number": "713-355-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGBOARD SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "713-355-8600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long.P.Nguyen M.D., P.a.
• Rebecca Kathryn Longacre, FNP-C
• Bernard Joseph Longano, LMFT, LCSW
• Deborah M Longano, PHD
• Frank Longano, MD
• Sonja Marie Longbotham, MD
• Abbra Longer, OTR/L
• Lindsey L Longerot, MD
• Longevity Centre of Houston, P.a.
• Longevity Chiropractic

• Ambulatory Surgical Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.