Organization Active NPI

Quantum Surgical Assistants LLC

  • Surgical Physician Assistant
  • Deer Park, TX
National Provider Identifier
1730615659
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
QUANTUM SURGICAL ASSISTANTS LLC
Practice address
409 Lincoln St
Deer Park, TX 77536-6249
Phone
(346) 907-9390
Fax
(832) 429-3496
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Mr. Rafael Nunez, LSANPI 1275718132
Title
Managing Member
Phone
(346) 907-9390

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X SA00310 TX
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

409 Lincoln St
Deer Park, TX 77536-6249

Mailing address

409 Lincoln St
Deer Park, TX 77536-6249
Phone (346) 907-9390

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1730615659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LINCOLN ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366249",
            "telephone_number": "346-907-9390",
            "fax_number": "832-429-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LINCOLN ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366249",
            "telephone_number": "346-907-9390",
            "fax_number": "832-429-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "346-907-9390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00310",
            "primary": false
        },
        {
            "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 Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.