Katy Surgical Assistants Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA490938 Issued in TX

Legal business name

KATY SURGICAL ASSISTANTS INC

Practice address

4010 Fulford CT
Katy, TX 77450-5239

Phone

(713) 301-9330

Fax

(281) 398-0451

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Bland Edmund Chamberlain III, LSANPI 1891813804

Title

Surgical Assistant

Phone

(713) 301-9330

Specialties & licenses 1

Addresses

Tax ID family

Katy Surgical Assistants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Katy Surgical Assistants, Inc

  • Surgical Physician Assistant
  • Katy, TX
  • NPI 1710231485
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bland Chamberlain III, LSA

  • Surgical Physician Assistant
  • Katy, TX
  • NPI 1891813804
  NPD (past) Authorized official

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1467688333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FULFORD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505239",
            "telephone_number": "713-301-9330",
            "fax_number": "281-398-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FULFORD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505239",
            "telephone_number": "713-301-9330",
            "fax_number": "281-398-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY SURGICAL ASSISTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "BLAND",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "713-301-9330",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA490938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Smile Design, PLLC (Katy Smile Design)
• Katy Speech and Language
• Katy St. Catherine Surgery Center, LP
• Katy Supportive Medicine, P.a.
• Katy Surgical Assist Services, LLC
• Katy Surgical Assistants, Inc
• Katy TX Caregiving LLC (Cornerstone Caregiving)
• Katy Ultra White Dental PC
• Katy Ultra White Dental PC (Ultra white dental)
• Katy Universal Medical Supply, LLC

• 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 Jun 5, 2009; 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.