Organization Active NPI

Tomball Surgery

Doing business as Tomball Surgery Association

  • Surgery Physician
  • Tomball, TX
National Provider Identifier
1932789765
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TOMBALL SURGERY
Doing business as
Tomball Surgery Association
Practice address
11609 Spring Cypress Rd Ste C
Tomball, TX 77377-8917
Phone
(281) 290-6300
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Viet PhuongNPI 1679728604
Title
Owner
Phone
(832) 677-7769

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

11609 Spring Cypress Rd Ste C
Tomball, TX 77377-8917

Mailing address

13519 Cypress Heath CT
Cypress, TX 77429-4481
Phone (832) 677-7769

Other names 1

  • Tomball Surgery Association Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221001565 TX Part B Supplier - Clinic/Group Practice 1254701980 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1932789765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13519 CYPRESS HEATH CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294481",
            "telephone_number": "832-677-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 SPRING CYPRESS RD STE C",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778917",
            "telephone_number": "281-290-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "PHUONG",
        "authorized_official_first_name": "VIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-677-7769"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomball Surgery Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.