Experienced Surgical Assistanced

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

EXPERIENCED SURGICAL ASSISTANCED

Practice address

24530 Kingsland Blvd
Katy, TX 77494-3429

Phone

(281) 463-6309

NPI assigned

May 27, 2016

Organization subpart

No

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

Authorized official

Name

Eduardo Elizondo

Title

Authorized Official

Phone

(281) 463-6309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1740638030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451722",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450042",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24530 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943429",
            "telephone_number": "281-463-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCED SURGICAL ASSISTANCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-463-6309"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel ABA LLC
• Excel ER Physicians East Texas PLLC
• Excel Group Home Care LLC
• Excell Surgical Assistants Managament Inc.
• Experience Infusion Center-Katy-Inc
• Expert Care Assistant
• Expert Hands Surgery
• Exquisite Health Care Services Inc
• Exserted Service LLC
• Extended Hand Logistical Transportation

• Surgical Physician Assistant in Katy, TX
• Providers in Katy, 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 May 27, 2016; 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.