Provider Type Icon

IMPERIAL SURGICAL ASSOCIATES LLC NPI 1689955601


NPI Information

NPI: 1689955601
Provider Name: IMPERIAL SURGICAL ASSOCIATES, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
410 DETERING ST
HOUSTON, TX
ZIP 77007
Phone: (903) 826-3302
Get Directions

IMPERIAL SURGICAL ASSOCIATES, LLC is a surgical physician assistant in Houston, TX. IMPERIAL SURGICAL ASSOCIATES, LLC NPI is 1689955601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

410 DETERING ST
HOUSTON, TX
ZIP 77007-127
Phone: (903) 826-3302

The provider's authorized official is Joshua Hunter Greene .
The authorized official title is Managing Member and has the following contact phone number (903) 826-3302.

The enumeration date for this NPI number is 9/3/2011 and was last updated on 7/11/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA06288TXTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TXB101247MEDICARE PINTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.