Tipa LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

G7777 Issued in TX

Legal business name

TIPA LLC

Doing business as

US Surgical assistant services

Practice address

15410 Ridge Park Dr
Houston, TX 77095-3324

Phone

(281) 855-2244

NPI assigned

Oct 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor Hugo Valencia Arellano, M.D.

Title

President

Phone

(281) 855-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• US Surgical assistant services Doing business as

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1558645531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 RIDGE PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953324",
            "telephone_number": "281-855-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 RIDGE PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953324",
            "telephone_number": "281-855-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "VICTOR HUGO",
        "authorized_official_middle_name": "VALENCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-855-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "G7777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140341253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Surgical assistant services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 7, 2011; 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.