Active NPI
Vanguard Surgical Assistants
- Surgical Physician Assistant
- Selma, TX
National Provider Identifier
1659960383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- VANGUARD SURGICAL ASSISTANTS
- Practice address
- 16203 Galloping Oak KNL
Selma, TX 78154-3916 - Phone
- (210) 417-3768
- NPI assigned
- Jan 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Brewer
- Title
- Owner
- Phone
- (210) 417-3768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
16203 Galloping Oak KNL
Selma, TX 78154-3916
Mailing address
16203 Galloping Oak KNL
Selma, TX 78154-3916
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Selma, TX
- NPI 1598010191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610841600000",
"number": "1659960383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16203 GALLOPING OAK KNL",
"city": "SELMA",
"state": "TX",
"postal_code": "781543916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16203 GALLOPING OAK KNL",
"city": "SELMA",
"state": "TX",
"postal_code": "781543916",
"telephone_number": "210-417-3768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD SURGICAL ASSISTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-17",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-417-3768"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.