Active NPI
Beata Tralik
- Surgical Physician Assistant
- Houston, TX
National Provider Identifier
1689144974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00580
- Practice address
- 10901 Katy Fwy
Houston, TX 77079-2203 - Phone
- (919) 592-7363
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00580 | TX | Primary |
Addresses
Primary practice location
10901 Katy Fwy
Houston, TX 77079-2203
Mailing address
10901 Katy Fwy
Houston, TX 77079-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00580 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1689144974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770792203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770792203",
"telephone_number": "919-592-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRALIK",
"first_name": "BEATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.