Organization Active NPI

Shenandoah Surgical Associates LLC

  • Multi-Specialty Clinic/Center
  • Shenandoah, TX
National Provider Identifier
1881909513
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SHENANDOAH SURGICAL ASSOCIATES LLC
Practice address
119 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(281) 419-1123
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Sabrina Lahiri, MD
Title
President
Phone
(281) 419-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

119 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

119 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 419-1123

National Provider Directory

National Provider Directory

Locations

125 Vision Park Blvd
Shenandoah, TX 77384

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1881909513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-419-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-419-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "LAHIRI",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-419-1123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.