Jac Surgical Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

JAC SURGICAL ASSISTANTS LLC

Practice address

15515 Clear Valley Dr
Houston, TX 77095-2774

Phone

(713) 614-4465

Fax

(832) 674-7284

NPI assigned

Sep 26, 2014

Last updated

Oct 1, 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

Jorge Alfonso Correa, L.S.A.NPI 1710005392

Title

Owner

Phone

(713) 614-4465

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.

• Jorge Alfonso Correa, LSA

  • Surgical Physician Assistant
  • Cypress, TX
  • NPI 1710005392
  Authorized official Same address or phone

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1518360106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 HIGHWAY 6 N",
            "address_2": "SUITE 165 # 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842584",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 CLEAR VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952774",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-614-4465",
        "authorized_official_credential": "L.S.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled W. Jabboury, MD
• Christine Elizabeth Jabcuga, M.D.
• Fouad Jaber, M.D.
• Michael Jabituk
• James Isip Jabon, CSA
• Jace Enterprises, Inc.
• Edwidge J Jacinthe, M.D.
• Jacinto City Wellness Clinic PA
• Jacinto Nursing & Rehabilitation Center LLC
• Maria Nina M Jacinto

• 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 Oct 1, 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.