Active NPI
Moheb K Soliman, LSA
- Surgical Physician Assistant
- Sugar Land, TX
National Provider Identifier
1467570903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00262
- Practice address
- 40 Wellington CT
Sugar Land, TX 77478-3657 - Phone
- (281) 242-7145
- Fax
- (281) 242-5047
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00262 | TX | Primary |
Addresses
Primary practice location
40 Wellington CT
Sugar Land, TX 77478-3657
Mailing address
12007 Meadow Place Dr
Houston, TX 77071-2473
Phone (832) 330-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00262 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Association of Surgical Assistance, LTD | Surgical | Past | Accepting new patients |
| Texas Excellent Surgical Assistant LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Houston, TX
- NPI 1124684311
-
- Surgical Physician Assistant
- Sugar Land, TX
- NPI 1477609840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467570903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12007 MEADOW PLACE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712473",
"telephone_number": "832-330-0102",
"fax_number": "281-242-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WELLINGTON CT",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783657",
"telephone_number": "281-242-7145",
"fax_number": "281-242-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIMAN",
"first_name": "MOHEB",
"middle_name": "K",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00262",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.