Organization Active NPI

Fernando Bueso Lsa

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1619292059
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00300 Issued in TX
Legal business name
FERNANDO BUESO LSA
Practice address
16151 Cairnway Dr Ste 210
Houston, TX 77084-3555
Phone
(281) 463-6309
Fax
(281) 463-6835
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Mr. Fernando Bueso, LSA
Title
Owner
Phone
(281) 463-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00300 TX Primary

Addresses

Primary practice location

16151 Cairnway Dr Ste 210
Houston, TX 77084-3555

Mailing address

PO Box 840967
Houston, TX 77284-0967
Phone (281) 463-6309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1619292059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772840967",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 CAIRNWAY DR STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843555",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO BUESO LSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BUESO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00300",
            "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 Mar 29, 2010; 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.