Independent First Assistant, LLC.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

INDEPENDENT FIRST ASSISTANT, LLC.

Practice address

23203 S Waterlake Dr
Richmond, TX 77406-7667

Phone

(832) 671-9795

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William Casey Fernandez, LSANPI 1437427648

Title

Ceo, Owner

Phone

(832) 671-9795

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Casey Fernandez, LSA

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1437427648
  NPD (past) Authorized official

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1861944217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23203 S WATERLAKE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067667",
            "telephone_number": "832-671-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23203 S WATERLAKE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067667",
            "telephone_number": "832-671-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FIRST ASSISTANT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "832-671-9795",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 PROVIDER",
            "identifier": "1437427648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Richmond, TX
• Providers in Richmond, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.