Advanced Assistant Surgery, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00244 Issued in TX

Legal business name

ADVANCED ASSISTANT SURGERY, PLLC

Practice address

14027 Memorial Dr Ste 120
Houston, TX 77079-6826

Phone

(832) 863-2057

Fax

(281) 558-2756

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Maricela Hernandez, LSANPI 1851558985

Title

Owner

Phone

(832) 863-2057

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maricela Hernandez, LSA

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1851558985
  NPD (past) Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1649437773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 MEMORIAL DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796826",
            "telephone_number": "832-863-2057",
            "fax_number": "281-558-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 MEMORIAL DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796826",
            "telephone_number": "832-863-2057",
            "fax_number": "281-558-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ASSISTANT SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-863-2057",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.