Texas Surgical Arts

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

L5679 Issued in TX

Legal business name

TEXAS SURGICAL ARTS

Practice address

21720 Kingsland Blvd
Suite 303a
Katy, TX 77450-2550

Phone

(281) 579-5638

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Ricardo M. Bonnor, M.D.NPI 1992763270

Title

President

Phone

(281) 579-5638

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo M Bonnor, M.D.

  • Surgery Physician
  • Houston, TX
  • NPI 1992763270
  NPD (past) Authorized official
• Gena Willard Marshall, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1922095173
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1639520653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "address_2": "SUITE 303A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "281-579-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "address_2": "SUITE 303A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "281-579-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "BONNOR",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-579-5638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "L5679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L5679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Personalized Care LLC (Texas Personalized Care)
• Texas Premier Vein Treatment Center,PLLC
• Texas Primary Care Physicians PLLC
• Texas Rejuvenation Medical Supply, LLC
• Texas Senior Care Transport LLC
• Texas Surgical Assistants (Surgical Assistants Group)
• Texas Vaccine Institute Co.
• Texas Vaccine Institute Co.
• Texcon Home Care Inc
• Texdent Ventures PLLC (Cinco Ranch Family Dentistry)

• Exclusive Provider Organization in Katy, TX
• Providers in Katy, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.