Active NPI
Henry Paniagua, LSA
- Surgical Physician Assistant
- Houston, TX
National Provider Identifier
1972621993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00477
- Practice address
- 315 Addicks Howell Rd Unit 940561
Houston, TX 77094 - Phone
- (305) 972-1002
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00477 | TX | |
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | SA00477 | TX | Primary |
Addresses
Primary practice location
315 Addicks Howell Rd Unit 940561
Houston, TX 77094
Mailing address
315 Addicks Howell Rd Unit 940561
Houston, TX 77094-2323
Phone (305) 972-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA00477 | Other | TX | TEXAS MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Ally Surgical | Multi-Specialty | Current | Accepting new patients |
Locations
315 Addicks Howell Rd
Unit 940561
Houston, TX 77094
Phone (305) 972-1002
315 Addicks Howell Rd
Unit 941212
Houston, TX 77094
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698451200000",
"number": "1972621993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 ADDICKS HOWELL RD UNIT 940561",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770942323",
"telephone_number": "305-972-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ADDICKS HOWELL RD UNIT 940561",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77094",
"telephone_number": "305-972-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIAGUA",
"first_name": "HENRY",
"name_prefix": "Mr.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2023-10-28",
"certification_date": "2023-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00477",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "SA00477",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.