Protean Surgical Assistants PLLC

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

711650 Issued in TX

Legal business name

PROTEAN SURGICAL ASSISTANTS PLLC

Practice address

11710 Shoal Landing St
Pearland, TX 77584-8750

Phone

(713) 501-5545

Fax

(713) 436-9066

NPI assigned

Jul 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Colunga Jr., RNNPI 1184606584

Title

President

Phone

(713) 501-5545

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pedro Colunga, R.N.

  • Registered Nurse
  • Pearland, TX
  • NPI 1184606584
  NPD (past) Authorized official

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344038400000",
    "number": "1669728572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451669",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772451669",
            "telephone_number": "713-501-5545",
            "fax_number": "713-436-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 SHOAL LANDING ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848750",
            "telephone_number": "713-501-5545",
            "fax_number": "713-436-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEAN SURGICAL ASSISTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-08-04",
        "status": "A",
        "authorized_official_last_name": "COLUNGA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-501-5545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "711650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical-Surgical Registered Nurse in Pearland, TX
• Providers in Pearland, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.