Active NPI
Alejandro Loredo, LSA
- Surgical Physician Assistant
- Houston, TX
National Provider Identifier
1619024825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 00423
- Practice address
- 12411 W Hardy Rd
Houston, TX 77037-3523 - Phone
- (713) 259-2998
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00423 | TX | Primary |
Addresses
Primary practice location
12411 W Hardy Rd
Houston, TX 77037-3523
Mailing address
12411 W Hardy Rd
Houston, TX 77037-3523
Phone (713) 259-2998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00423 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Lsa LLC | Multi-Specialty | Current | Accepting new patients |
Locations
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1619024825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 W HARDY RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770373523",
"telephone_number": "713-259-2998",
"fax_number": "346-444-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 W HARDY RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770373523",
"telephone_number": "713-259-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOREDO",
"first_name": "ALEJANDRO",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2023-06-27",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "00423",
"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 Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.