Organization Active NPI

Surgical Assistants of Houston, LLC

  • Surgical Assistant
  • Humble, TX
National Provider Identifier
1528422888
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
SURGICAL ASSISTANTS OF HOUSTON, LLC
Practice address
17630 Bryce Manor LN
Humble, TX 77346-6217
Phone
(281) 965-2608
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Ms. Rosenthalia Polk, CSA
Title
Owner
Phone
(281) 965-2608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

17630 Bryce Manor LN
Humble, TX 77346-6217

Mailing address

17630 Bryce Manor LN
Humble, TX 77346-6217
Phone (281) 965-2608

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1528422888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17630 BRYCE MANOR LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773466217",
            "telephone_number": "281-965-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17630 BRYCE MANOR LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773466217",
            "telephone_number": "281-965-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "ROSENTHALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-965-2608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.