United Surgeon Health Management Corp

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA0008 Issued in TX

Legal business name

UNITED SURGEON HEALTH MANAGEMENT CORP

Practice address

20023 Sky Hollow LN
Katy, TX 77450-5219

Phone

(832) 452-6628

Fax

(281) 829-9149

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bysmark Abraham Acebo, L.S.A.

Title

President

Phone

(281) 829-0941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467502849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772431125",
            "telephone_number": "832-452-6628",
            "fax_number": "281-829-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20023 SKY HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505219",
            "telephone_number": "832-452-6628",
            "fax_number": "281-829-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGEON HEALTH MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACEBO",
        "authorized_official_first_name": "BYSMARK",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-829-0941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.S.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA0008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Katy, TX
• Providers in Katy, 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 Aug 22, 2020; 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.