MMJ Surgical Assisting LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

163769 Issued in TX

Legal business name

MMJ SURGICAL ASSISTING LLC

Practice address

2350 State Highway 132 N Lot 4
Natalia, TX 78059-0522

Phone

(210) 878-8357

NPI assigned

May 26, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moses Moreno, CSFANPI 1821444266

Title

Owner

Phone

(210) 878-8357

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, and the practitioner matching its NPPES authorized official.

• Moses Moreno, CSFA

  • Surgical Assistant
  • Natalia, TX
  • NPI 1821444266
  NPD (past) Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1881042273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "NATALIA",
            "state": "TX",
            "postal_code": "780590522",
            "telephone_number": "210-878-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 STATE HIGHWAY 132 N LOT 4",
            "city": "NATALIA",
            "state": "TX",
            "postal_code": "780590522",
            "telephone_number": "210-878-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMJ SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-878-8357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "163769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA",
            "identifier": "163769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Natalia, TX
• Providers in Natalia, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.