Organization Active NPI

Mansa Surgical LLC

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1609221597
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00437 Issued in TX
Legal business name
MANSA SURGICAL LLC
Practice address
2131 Harold St
Houston, TX 77098-1401
Phone
(713) 256-2182
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Gustavo Manrique
Title
Lsa
Phone
(713) 256-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X SA00437 TX Primary

Addresses

Primary practice location

2131 Harold St
Houston, TX 77098-1401

Mailing address

2131 Harold St
Houston, TX 77098-1401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1609221597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HAROLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HAROLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981401",
            "telephone_number": "713-256-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSA SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MANRIQUE",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "LSA",
        "authorized_official_telephone_number": "713-256-2182"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00437",
            "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 Apr 28, 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.