Organization Active NPI

Prime Surgitech LLC

  • Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1619412939
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PRIME SURGITECH LLC
Practice address
2918 San Jacinto St
Houston, TX 77004-2708
Phone
(713) 298-8173
Fax
(713) 234-6738
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Raymond Torres
Title
Sole Member
Phone
(713) 298-8173

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

2918 San Jacinto St
Houston, TX 77004-2708

Mailing address

4031 FM 1463 Rd Ste 210
Katy, TX 77494-5963
Phone (713) 298-8173

National Provider Directory

National Provider Directory

Locations

1420 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (832) 781-4340

4031 FM 1463 Rd
Ste 210
Katy, TX 77494

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1619412939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 FM 1463 RD STE 210",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945963",
            "telephone_number": "713-298-8173",
            "fax_number": "713-234-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 SAN JACINTO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042708",
            "telephone_number": "713-298-8173",
            "fax_number": "713-234-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SURGITECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "713-298-8173"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 1, 2020; 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.