Ryan Surgical Assist LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

RYAN SURGICAL ASSIST LLC

Practice address

3118 Quenby Ave
Houston, TX 77005-2338

Phone

(281) 463-6309

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Incavo

Title

Authorized Official

Phone

(281) 463-6309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1922352541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 QUENBY AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 QUENBY AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052338",
            "telephone_number": "281-463-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN SURGICAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "INCAVO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-463-6309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.