Organization Active NPI

MC Surgical Assistants Corporation

  • Surgical Physician Assistant
  • Katy, TX
National Provider Identifier
1811535487
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
MC SURGICAL ASSISTANTS CORPORATION
Practice address
20023 Sky Hollow LN
Katy, TX 77450-5219
Phone
(832) 713-9249
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Carmen Acebo
Title
Ceo
Phone
(832) 713-9153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

20023 Sky Hollow LN
Katy, TX 77450-5219

Mailing address

20023 Sky Hollow LN
Katy, TX 77450-5219
Phone (832) 713-9249

National Provider Directory

National Provider Directory

Practitioners & 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": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1811535487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20023 SKY HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505219",
            "telephone_number": "832-713-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20023 SKY HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505219",
            "telephone_number": "832-713-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC SURGICAL ASSISTANTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "ACEBO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-713-9153"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "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 Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.