NPIMap

Organization Active NPI

Triad Surgery Center, LLC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1861625303
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00288 Issued in TX
Legal business name
TRIAD SURGERY CENTER, LLC
Practice address
16151 Cairnway Dr
Houston, TX 77084-3550
Phone
(281) 463-6309
Fax
(281) 463-6835
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Paul I Cook, M.D.
Title
Owner
Phone
(713) 796-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00288 TX Primary

Addresses

Primary practice location

16151 Cairnway Dr
Houston, TX 77084-3550

Mailing address

PO Box 840967
Houston, TX 77284-0967
Phone (713) 796-2200

National Provider Directory

National Provider Directory
Tax ID family
Triad Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16151 Cairnway Dr
Houston, TX 77084
Phone (281) 859-7777

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1861625303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772840967",
            "telephone_number": "713-796-2200",
            "fax_number": "713-796-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 CAIRNWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843550",
            "telephone_number": "281-463-6309",
            "fax_number": "281-463-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-796-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00288",
            "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 Sep 1, 2009; 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.