Active NPI
Quantum Surgical Assistants LLC
- Surgical Physician Assistant
- Deer Park, TX
National Provider Identifier
1730615659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rafael Nunez, LSA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00310 | TX | |
| Surgical Physician Assistant | 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 DirectoryPractitioners & 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.