Organization Active NPI

JDR Surgical PA

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1518199298
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JDR SURGICAL PA
Practice address
9180 Katy Fwy Ste 202
Houston, TX 77055-7443
Phone
(713) 647-7700
NPI assigned
Aug 14, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Jaime Robledo
Title
Manager
Phone
(713) 590-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

9180 Katy Fwy Ste 202
Houston, TX 77055-7443

Mailing address

21402 Provincial Blvd
Katy, TX 77450-7587
Phone (713) 590-5470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1518199298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21402 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "713-590-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 KATY FWY STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557443",
            "telephone_number": "713-647-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDR SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-590-5470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2009; 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.