Ace Surgical Consultants, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ACE SURGICAL CONSULTANTS, LLC

Practice address

11045 Gabriels Path
Shreveport, LA 71106-7791

Phone

(713) 589-8606

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Rishi Wadhwa

Title

Owner

Phone

(713) 589-8606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1962041541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8219",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773878219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 GABRIELS PATH",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067791",
            "telephone_number": "713-589-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE SURGICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-589-8606"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.