Active NPI
Surgipro, LLC
- Surgical Physician Assistant
- Irving, TX
National Provider Identifier
1932334729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA04581
- Legal business name
- SURGIPRO, LLC
- Practice address
- 2020 Lawndale Dr
Irving, TX 75063-3913 - Phone
- (817) 723-8390
- Fax
- (214) 242-9111
- NPI assigned
- May 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Andrew Laurence, PA-C
- Title
- President
- Phone
- (817) 723-8390
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA04581 | TX | Primary |
Addresses
Primary practice location
2020 Lawndale Dr
Irving, TX 75063-3913
Mailing address
2020 Lawndale Dr
Irving, TX 75063-3913
Phone (817) 723-8390
National Provider Directory
National Provider DirectoryPractitioners & 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": "1242864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242864000000",
"number": "1932334729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 LAWNDALE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750633913",
"telephone_number": "817-723-8390",
"fax_number": "214-242-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 LAWNDALE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750633913",
"telephone_number": "817-723-8390",
"fax_number": "214-242-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGIPRO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A",
"authorized_official_last_name": "LAURENCE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-723-8390",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA04581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Surely Health, Inc.
- Surgery & Anesthesia for Dentistry, P.C.
- Surgical Assistants in North Texas
- Surgical Group of North Texas, PLLC
- Surgical Spine Partners, LLC
- Surrounded by Grace Counseling, LLC
- Survivor Gals Specialty Products and Salon LLC
- Vallabh Suryadevara, M.D.
- Mustafa Suterwala
- Smita Suterwala, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.