PBP SURGICAL ASSIST LLC NPI 1659795359

NPI Information

NPI: 1659795359
Provider Name: PBP SURGICAL ASSIST LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
12335 KINGSRIDE LN STE 275
HOUSTON, TX
ZIP 77024
Phone: (713) 464-0077
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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
1	363AS0400X	Physician Assistant	Surgical			Yes

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: 4/28/2024

NPI Synchronization or Removal

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