Organization Active NPI

South Texas Surgery Medical Center Inc

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1518156355
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SOUTH TEXAS SURGERY MEDICAL CENTER INC
Practice address
2646 S Loop W Ste 390
Houston, TX 77054-5615
Phone
(713) 839-7555
Fax
(281) 201-4560
NPI assigned
Oct 17, 2007
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mrs. Shobha Gupta
Title
Authorized Officer
Phone
(866) 511-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

2646 S Loop W Ste 390
Houston, TX 77054-5615

Mailing address

5318 Weslayan St # 175
Houston, TX 77005-1048
Phone (866) 511-9060

Other identifiers 1

IdentifierTypeStateIssuer
0048JHOtherTXBC/BS

National Provider Directory

National Provider Directory

Locations

2646 S Loop W
Ste 390
Houston, TX 77054
Phone (713) 839-7555

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1518156355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 WESLAYAN ST # 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051048",
            "telephone_number": "866-511-9060",
            "fax_number": "866-511-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 390",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545615",
            "telephone_number": "713-839-7555",
            "fax_number": "281-201-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS SURGERY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "866-511-9060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0048JH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2008; 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.