NPIMap

Organization Active NPI

Advanced Surgeons & Physicians Network, Inc.

Doing business as Advanced Medical Group

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508030917
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED SURGEONS & PHYSICIANS NETWORK, INC.
Doing business as
Advanced Medical Group
Republic Pain and Anesthesia Consultants
Spine Orthopedic and Pain Surgical Partners1 more in Other names
Practice address
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone
(713) 795-4884
Fax
(713) 383-4446
NPI assigned
Apr 16, 2008
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mrs. Lanisa Guidry
Title
Director Business Office
Phone
(713) 795-1152

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

4200 Twelve Oaks Dr
Houston, TX 77027-6812

Mailing address

1911 Bagby St
Houston, TX 77002-8594
Phone (713) 383-7147

Other practice location 1

1001 York Dr
DeSoto, TX 75115-2083
Phone (972) 572-5000

Other practice location 2

517 N Carrier Pkwy
Grand Prairie, TX 75050-5484
Phone (469) 221-6000

Other practice location 3

7502 Greenville Ave
Dallas, TX 75231-3802
Phone (469) 221-6000

Other practice location 4

2124 Clinton Dr
Galena Park, TX 77547-2839
Phone (713) 671-3367

Other practice location 5

2436 S Interstate 35 E Ste 336
Denton, TX 76205-4900
Phone (972) 572-5000

Other practice location 6

7125 Marvin D Love Fwy Ste 107
Dallas, TX 75237-3111
Phone (940) 484-7000

Other practice location 7

12930 East Fwy
Houston, TX 77015-5710
Phone (281) 984-8791

Other practice location 8

1209 Bent Oaks Ct
Denton, TX 76210-3300
Phone (972) 572-5000

Other practice location 9

4140 Southwest Fwy
Houston, TX 77027-7311
Phone (713) 795-4884

Other identifiers 1

IdentifierTypeStateIssuer
204926402MedicaidTX

Other names 4

  • Advanced Medical Group Doing business as
  • Republic Pain and Anesthesia Consultants Doing business as
  • Spine Orthopedic and Pain Surgical Partners Doing business as
  • Texas Brain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081114000422 TX Part B Supplier - Clinic/Group Practice 4082774484 Receives reassigned benefits from 8 practitioners
Practice locations: Houston, TX
O20180710001216 TX Part B Supplier - Clinic/Group Practice 8426304221 Receives reassigned benefits from 139 practitioners
Practice locations: Dallas, TX; Odessa, TX; Kingwood, TX; Houston, TX; Denton, TX

National Provider Directory

National Provider Directory

Locations

1209 Bent Oaks Ct
Denton, TX 76210
Phone (940) 591-9191

4200 Twelve Oaks Dr
Fl First
Houston, TX 77027

4200 Twelve Oaks Dr
Fl Third
Houston, TX 77027

Practitioners & affiliated clinicians

Practitioners 152

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1508030917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BAGBY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028594",
            "telephone_number": "713-383-7147",
            "fax_number": "713-383-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TWELVE OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276812",
            "telephone_number": "713-795-4884",
            "fax_number": "713-383-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 York Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152083",
            "country_code": "US",
            "telephone_number": "972-572-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Carrier Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750505484",
            "country_code": "US",
            "telephone_number": "469-221-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7502 Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313802",
            "country_code": "US",
            "telephone_number": "469-221-6000",
            "fax_number": "469-895-6352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Clinton Dr",
            "address_purpose": "LOCATION",
            "city": "Galena Park",
            "state": "TX",
            "postal_code": "775472839",
            "country_code": "US",
            "telephone_number": "713-671-3367",
            "fax_number": "713-671-3541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2436 S Interstate 35 E Ste 336",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762054900",
            "country_code": "US",
            "telephone_number": "972-572-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Marvin D Love Fwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373111",
            "country_code": "US",
            "telephone_number": "940-484-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12930 East Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770155710",
            "country_code": "US",
            "telephone_number": "281-984-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Bent Oaks Ct",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762103300",
            "country_code": "US",
            "telephone_number": "972-572-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277311",
            "country_code": "US",
            "telephone_number": "713-795-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED SURGEONS & PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "LANISA",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE",
        "authorized_official_telephone_number": "713-795-1152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204926402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Republic Pain and Anesthesia Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine Orthopedic and Pain Surgical Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Brain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.