First Assistant Specialist of Texas

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

FIRST ASSISTANT SPECIALIST OF TEXAS

Practice address

20107 Britannia Dr.
Katy, TX 77450

Phone

(281) 468-1212

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Rosendo Villarreal Jr., LSA

Title

President/Ceo

Phone

(281) 468-1212

Specialties & licenses 3

Addresses

Other names 1

• FAST Doing business as

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1992107569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20107 BRITANNIA DR.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-468-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20107 BRITANNIA DR.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-468-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASSISTANT SPECIALIST OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ROSENDO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "281-468-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Physician Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.