NPIMap

Organization Active NPI

Tri-County Surgical Associates, P.a.

  • Ambulatory Surgical Clinic/Center
  • Stafford, TX
National Provider Identifier
1750595054
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TRI-COUNTY SURGICAL ASSOCIATES, P.A.
Practice address
4411 Bluebonnet Dr
Suite 109
Stafford, TX 77477-2912
Phone
(713) 664-1330
Fax
(713) 664-3355
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
David Balat
Title
Managed Care Director
Phone
(713) 664-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4411 Bluebonnet Dr
Suite 109
Stafford, TX 77477-2912

Mailing address

PO Box 2569
Stafford, TX 77497-2569
Phone (713) 664-1330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1750595054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2569",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774972569",
            "telephone_number": "713-664-1330",
            "fax_number": "713-664-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BLUEBONNET DR",
            "address_2": "SUITE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772912",
            "telephone_number": "713-664-1330",
            "fax_number": "713-664-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "BALAT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "713-664-1330"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.