Organization Active NPI

Longhorn Surgical Assists, PLLC

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1922572494
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
LONGHORN SURGICAL ASSISTS, PLLC
Practice address
1920 E Riverside Dr Ste A120-112
Austin, TX 78741-1342
Phone
(512) 515-3773
NPI assigned
Jan 17, 2019
Last updated
Jan 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Tim Delong
Title
Pams Npi Administrator
Phone
(210) 598-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1920 E Riverside Dr Ste A120-112
Austin, TX 78741-1342

Mailing address

1920 E Riverside Dr Ste A120-112
Austin, TX 78741-1342
Phone (512) 515-3773

National Provider Directory

National Provider Directory

Locations

1920 E Riverside Dr
Ste A120112
Austin, TX 78741
Phone (512) 515-3773

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1922572494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E RIVERSIDE DR STE A120-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411342",
            "telephone_number": "512-515-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E RIVERSIDE DR STE A120-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411342",
            "telephone_number": "512-515-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN SURGICAL ASSISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.