Active NPI
Ronald Brian Holley, CSA
- Surgical Assistant
- Cypress, TX
National Provider Identifier
1750610085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 3484
- Practice address
- 21212 Northwest Fwy
605
Cypress, TX 77429-5884 - Phone
- (281) 955-7577
- Fax
- (281) 955-5875
- NPI assigned
- Dec 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 3484 | TX | Primary |
Addresses
Primary practice location
21212 Northwest Fwy
605
Cypress, TX 77429-5884
Mailing address
24410 Chipwood Dr
Magnolia, TX 77355
Phone (832) 928-6380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3484 | Other | TX | NATIONAL SURGICAL ASSISTANT ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3484 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1750610085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24410 CHIPWOOD DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "77355",
"telephone_number": "832-928-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21212 NORTHWEST FWY",
"address_2": "605",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295884",
"telephone_number": "281-955-7577",
"fax_number": "281-955-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "RONALD",
"middle_name": "BRIAN",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "3484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL SURGICAL ASSISTANT ASSOCIATION",
"identifier": "3484",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.