Panplasticity Holdings LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PANPLASTICITY HOLDINGS LLC

Practice address

1300 Castle CT
Houston, TX 77006-5702

Phone

(281) 463-6309

NPI assigned

Oct 2, 2012

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edgar FragosoNPI 1255518189

Title

Authorized Official

Phone

(281) 463-6309

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edgar Fragoso, LSA

  • Surgical Assistant
  • Houston, TX
  • NPI 1255518189
  Authorized official Same address or phone

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1508117433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "address_2": "DEPT 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CASTLE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065702",
            "telephone_number": "281-463-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANPLASTICITY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "FRAGOSO",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin N Pankewicz, RD
• Jonathan Daniel Pankow, MD
• Shirley Kurian Pannapara, O.D.
• Artice Pannell, CSFA
• Kaylin B Panning, MS, CCC-SLP
• Kelsey Elizabeth Pansa, NP
• Shubham Pant, MD
• Janet Pantang
• Blaine Mitchell Pantano, APRN
• Sreelatha Panthayi, M.D.

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, 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 19, 2014; 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.