Active NPI
Liliana C. Manzano, L.S.A.
- Surgical Assistant
- Katy, TX
National Provider Identifier
1992904262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00301
- Practice address
- 2718 Durham Chase Lane
Katy, TX 77449-4739 - Phone
- (281) 829-5417
- Fax
- (713) 627-1217
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00301 | TX | Primary |
Addresses
Primary practice location
2718 Durham Chase Lane
Katy, TX 77449-4739
Mailing address
2718 Durham Chase Lane
Katy, TX 77449-4739
Phone (832) 392-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y2286 | Other | TX | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00301 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LM Surgi-Call, Surgical Assistance, LLC | Past | Accepting new patients |
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.
-
- Surgical Physician Assistant
- Katy, TX
- NPI 1861630329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1992904262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 DURHAM CHASE LANE",
"city": "KATY",
"state": "TX",
"postal_code": "774494739",
"telephone_number": "832-392-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 DURHAM CHASE LANE",
"city": "KATY",
"state": "TX",
"postal_code": "774494739",
"telephone_number": "281-829-5417",
"fax_number": "713-627-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZANO",
"first_name": "LILIANA",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "L.S.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y2286",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.