Imperial Surgical Associates, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA06288TX Issued in TX

Legal business name

IMPERIAL SURGICAL ASSOCIATES, LLC

Practice address

410 Detering St
Houston, TX 77007-7127

Phone

(903) 826-3302

NPI assigned

Sep 3, 2011

Organization subpart

No

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

Authorized official

Name

Joshua Hunter Greene

Title

Managing Member

Phone

(903) 826-3302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1689955601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DETERING ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077127",
            "telephone_number": "903-826-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DETERING ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077127",
            "telephone_number": "903-826-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-826-3302"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06288TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imparali Dental Solutions, PLLC
• Imperial Caregivers in-Home Care Services, LLC
• Imperial Caregivers Inc
• Imperial Managed Care HCS Inc
• Imperial Surgery Center LLC
• Imperial Valley Pharmacy LLC
• Imperial Vision, PLLC
• Delmar Imperial-Aubin, RN, MSN, ACNP-C,CCRN
• Sidney Imperial, OD
• Valentino Romero Imperial, MD

• 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 Jul 11, 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.