Medcenter Surgery PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N0289 Issued in TX

Legal business name

MEDCENTER SURGERY PLLC

Practice address

15434 Walkwood Dr Ste 101
Houston, TX 77079-4214

Phone

(915) 422-7341

NPI assigned

Oct 20, 2015

Last updated

Feb 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel M Morales Gonzalez, M.D.

Title

Member/Manager/President

Phone

(925) 422-7346

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1801268651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15434 WALKWOOD DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794214",
            "telephone_number": "915-422-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15434 WALKWOOD DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794214",
            "telephone_number": "915-422-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MORALES GONZALEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "925-422-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N0289",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "N0289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.