NPIMap

Organization Active NPI

Lone Star First Assistant Surgical Services

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1831561935
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00334 Issued in TX
Legal business name
LONE STAR FIRST ASSISTANT SURGICAL SERVICES
Practice address
21175 Tomball Pkwy PMB # 122
Houston, TX 77070-1655
Phone
(346) 444-2705
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Dr. Luis Hernandez, LSA
Title
Surgical Assistant
Phone
(281) 256-5702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00334 TX Primary

Addresses

Primary practice location

21175 Tomball Pkwy PMB # 122
Houston, TX 77070-1655

Mailing address

21175 Tomball Pkwy PMB #122
Houston, TX 77070-1655
Phone (346) 444-2705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1831561935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY PMB #122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "346-444-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY PMB # 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "346-444-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR FIRST ASSISTANT SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "281-256-5702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.