Active NPI
Previty Surgical East, PLLC
- Surgery Physician
- Pasadena, TX
National Provider Identifier
1710327184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PREVITY SURGICAL EAST, PLLC
- Practice address
- 5030 Crenshaw Rd
Suite 140
Pasadena, TX 77505-3140 - Phone
- (409) 835-9500
- NPI assigned
- Jul 1, 2013
- 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
- Dr. Garrett K Peel, MD
- Title
- Physician/Owner
- Phone
- (409) 835-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
5030 Crenshaw Rd
Suite 140
Pasadena, TX 77505-3140
Mailing address
740 Hospital Dr
Suite 280
Beaumont, TX 77701-4664
Phone (409) 835-9500
Other names 1
- Previty Clinic for Surgical Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378857600000",
"number": "1710327184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 HOSPITAL DR",
"address_2": "SUITE 280",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014664",
"telephone_number": "409-835-9500",
"fax_number": "409-835-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 CRENSHAW RD",
"address_2": "SUITE 140",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053140",
"telephone_number": "409-835-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVITY SURGICAL EAST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-01",
"last_updated": "2013-09-11",
"status": "A",
"authorized_official_last_name": "PEEL",
"authorized_official_first_name": "GARRETT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "409-835-9500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Previty Clinic for Surgical Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.