NPIMap

Organization Active NPI

London Surgical Services,LLC

  • Surgical Physician Assistant
  • Conroe, TX
National Provider Identifier
1871022251
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00406 Issued in TX
Legal business name
LONDON SURGICAL SERVICES,LLC
Practice address
8841 MP Clark Rd
Conroe, TX 77304-5355
Phone
(281) 620-4242
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Leana L Basco-Clark, LSA
Title
Licensed Surgical Assistant
Phone
(281) 620-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA00406 TX Primary

Addresses

Primary practice location

8841 MP Clark Rd
Conroe, TX 77304-5355

Mailing address

8841 MP Clark Rd
Conroe, TX 77304-5355
Phone (281) 620-4242

Other names 1

  • London Surgical Services Former legal business name

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1871022251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 MP CLARK RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045355",
            "telephone_number": "281-620-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 MP CLARK RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045355",
            "telephone_number": "281-620-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON SURGICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "BASCO-CLARK",
        "authorized_official_first_name": "LEANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "281-620-4242",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "London Surgical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "London Surgical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.