Preston Surgical Assist

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PRESTON SURGICAL ASSIST

Practice address

1705 Ohio Dr Ste 300
Plano, TX 75093-5258

Phone

(713) 589-8606

NPI assigned

Nov 25, 2020

Organization subpart

No

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

Authorized official

Name

Stephen Courtney, MD

Title

Owner

Phone

(713) 589-8606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1629672001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8219",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773878219",
            "telephone_number": "713-589-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 OHIO DR STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935258",
            "telephone_number": "713-589-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-589-8606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Presicci, RD
• Presidential Home Care
• Paula Finan Prestemon, PT
• Preston Primary Medical Clinic PA
• Preston Road Dental Care,PA
• Rachel Anne Preston, MPSY, LPC
• Prestonwood Encore Adec, LLC
• Prestonwood Health PLLC
• Prestonwood Surgery Center LLC
• Mark E Pretorius, MD

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.