Organization Active NPI

Lot 108 Services PLLC

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1649853532
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LOT 108 SERVICES PLLC
Practice address
3060 Communications Pkwy Ste 201
Plano, TX 75093-8492
Phone
(972) 943-9779
Fax
(972) 943-9776
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Cathy Fisher
Title
Manager
Phone
(972) 943-9776

Specialties & licenses 1

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

Addresses

Primary practice location

3060 Communications Pkwy Ste 201
Plano, TX 75093-8492

Mailing address

3060 Communications Pkwy Ste 201
Plano, TX 75093-8492
Phone (972) 943-9779

National Provider Directory

National Provider Directory

Locations

3060 Communications Pkwy
Ste 201
Plano, TX 75093
Phone (214) 239-1960

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1649853532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938492",
            "telephone_number": "972-943-9779",
            "fax_number": "972-943-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938492",
            "telephone_number": "972-943-9779",
            "fax_number": "972-943-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOT 108 SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-943-9776"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.