1922207943 NPI number — CUTTING EDGE SURGICAL ASSISTANTS

Table of content: (NPI 1922207943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922207943 NPI number — CUTTING EDGE SURGICAL ASSISTANTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUTTING EDGE SURGICAL ASSISTANTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922207943
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9494 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
SUITE 720
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-1419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-777-4539
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9494 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 720
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-777-4539
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HERNANDEZ
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-777-4539

Provider Taxonomy Codes

  • Taxonomy code: 246ZS0410X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 105560 . This is a "CERTIFIED FIRST ASSISTANT" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 107078 . This is a "CFA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 239253 . This is a "REGISTERED NURSE FIRST AS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 516735 . This is a "REGISTERED NURSE FIRST AS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 08-276 . This is a "CSA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 593263 . This is a "RNFA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: PA01466 . This is a "PA-C" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: SA00166 . This is a "LICENSED SURGICAL ASSISTA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: SA00273 . This is a "LICENSED SURGICAL ASSISTA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 07-142 . This is a "CSA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 101962 . This is a "CERTIFIED FIRST ASSISTANT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 242045 . This is a "RNFA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 580819 . This is a "REGISTERED NURSE FIRST AS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 680220 . This is a "RNFA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: PA05759 . This is a "PA-C" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00056 . This is a "LICENSED SURGICAL ASSIST" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 95151 . This is a "CERTIFIED FIRST ASSISTANT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 732718 . This is a "APN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 739339, SA00339 . This is a "RN, LSA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: SA00310 . This is a "LSA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".