First Southwest Surgical Assistants

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

FIRST SOUTHWEST SURGICAL ASSISTANTS

Practice address

5918 Dewdrop LN
Converse, TX 78109-3741

Phone

(830) 734-2689

Fax

(210) 475-3995

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Samuel B. Henderson Sr., SA-CNPI 1578787792

Title

Sa-C

Phone

(830) 734-2689

Specialties & licenses 1

Addresses

Other names 1

• FIRST SOUTHWEST SURGICAL ASSISTANTS Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel B Henderson, SA-C

  • Surgical Physician Assistant
  • Converse, TX
  • NPI 1578787792

  Surgical Assistant

  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1992970966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 DEWDROP LANE",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781099787",
            "telephone_number": "830-734-2689",
            "fax_number": "210-475-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 DEWDROP LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093741",
            "telephone_number": "830-734-2689",
            "fax_number": "210-475-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SOUTHWEST SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SA-C",
        "authorized_official_telephone_number": "830-734-2689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST SOUTHWEST SURGICAL ASSISTANTS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Surgical Assistant in Converse, TX
• Providers in Converse, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.