Elemental LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

ELEMENTAL LLC

Practice address

12436 FM 1960 Rd W
Suite 171
Houston, TX 77065-4809

Phone

(281) 653-2924

Fax

(832) 478-9266

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Rebecca L. Vasquez, SA-C

Title

Owner

Phone

(281) 653-2924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1497105381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12436 FM 1960 RD W",
            "address_2": "SUITE 171",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12436 FM 1960 RD W",
            "address_2": "SUITE 171",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654809",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-653-2924",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.