Active NPI
MC Surgical Assistants Corporation
- Surgical Physician Assistant
- Katy, TX
National Provider Identifier
1811535487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 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 DirectoryPractitioners & 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.