BC Surgeon Healthcare Corporation

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00008 Issued in TX

Legal business name

BC SURGEON HEALTHCARE CORPORATION

Practice address

20023 Sky Hollow LN
Katy, TX 77450-5219

Phone

(832) 713-9153

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By 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. Jonathan A Acebo Sr., SURGEON ASISTANT

Title

Ceo

Phone

(832) 713-9153

Specialties & licenses 1

Addresses

Other names 1

• same Other name

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1508241837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20023 SKY HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505219",
            "telephone_number": "832-713-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20023 SKY HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505219",
            "telephone_number": "832-713-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC SURGEON HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "ACEBO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-713-9153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "SURGEON ASISTANT"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.