Leana Lynn Basco, SURGICAL ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

8841 MP Clark Rd
Conroe, TX 77304-5355

Phone

(281) 620-4242

NPI assigned

Feb 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leana Lynn Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• London Surgical Services,LLC

  • Surgical Physician Assistant
  • Conroe, TX
  • NPI 1871022251
  NPD

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1871815431",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "8841 MP CLARK ROAD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304"
        },
        {
            "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": {
        "last_name": "BASCO",
        "first_name": "LEANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANA",
            "last_name": "CLARK",
            "middle_name": "LYNN",
            "credential": "LSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivana Barrera
• Kylie Barroso, DDS
• Sandra S Bartlett, OTR
• Joseph Bartling
• Christopher Basa
• Brittany Nicole Bass, M.S.
• James William Bass IV
• Andrew Bates
• Whitney Brooke Bates, DOCTOR OF PHARMACY
• Reshanda Baudy

• Surgical Physician Assistant in Conroe, TX
• Providers in Conroe, 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 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.