Organization Active NPI

Surgical Assistance of Texas, LLC.

  • Surgical Physician Assistant
  • Rockwall, TX
National Provider Identifier
1902135072
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00036 Issued in TX
Legal business name
SURGICAL ASSISTANCE OF TEXAS, LLC.
Practice address
3021 Ridge Rd
Suite A231
Rockwall, TX 75032-5806
Phone
(214) 507-9306
Fax
(469) 338-5928
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Cody Day, LSANPI 1154384402
Title
Owner
Phone
(281) 463-6309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00036 TX Primary

Addresses

Primary practice location

3021 Ridge Rd
Suite A231
Rockwall, TX 75032-5806

Mailing address

3021 Ridge Rd
Suite A231
Rockwall, TX 75032-5806
Phone (214) 507-9306

National Provider Directory

National Provider Directory

Locations

3021 Ridge Rd
Ste A231
Rockwall, TX 75032
Phone (214) 507-9306

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": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1902135072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 RIDGE RD",
            "address_2": "SUITE A231",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325806",
            "telephone_number": "214-507-9306",
            "fax_number": "469-338-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 RIDGE RD",
            "address_2": "SUITE A231",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325806",
            "telephone_number": "214-507-9306",
            "fax_number": "469-338-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANCE OF TEXAS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.