PBP SURGICAL ASSIST LLC NPI 1659795359

NPI Information

  • NPI: 1659795359
  • Provider Name: PBP SURGICAL ASSIST LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 12335 KINGSRIDE LN STE 275
    HOUSTON, TX
    ZIP 77024
  • Phone: (713) 464-0077

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NPI Details

PBP SURGICAL ASSIST LLC is a surgical physician assistant in Houston, TX. PBP SURGICAL ASSIST LLC NPI is 1659795359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12335 KINGSRIDE LN STE 275
HOUSTON, TX
ZIP 77024-116
Phone: (713) 464-0077
Fax: (713) 464-9582

The provider's authorized official is Juan Bustos .
The authorized official title is President and has the following contact phone number (713) 464-0077.

The enumeration date for this NPI number is 2/15/2014 and was last updated on 2/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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