PROMED SURGICAL ASSISTANTS


Address: 58 Cloverdale Ct, Montgomery, TX 77356-8251
Phone: 3464442705

PROMED SURGICAL ASSISTANTS (NPI# 1134587876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134587876
Entity Type Organization
Organization Name PROMED SURGICAL ASSISTANTS
Practice Address 58 Cloverdale Ct
Montgomery
TX 77356-8251
Mailing Address Po Box 856
Montgomery
TX 77356-0856
Practice Telephone 3464442705
Practice Fax Number 8322188987
Mailing Telephone 3464442705
Mailing Fax Number 8322188987
Enumeration Date 2016-02-09
Last Update Date 2016-02-09
Authorized Official Name EDGARDO ISAURO PAGOAGA (OWNER)
Authorized Official Telephone 3464442705
Authorized Official Credential CSA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 58 CLOVERDALE CT
City MONTGOMERY
State TX
Zip Code 77356-8251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346567765 Edgardo I Pagoaga Specialist/Technologist, Other 58 Cloverdale Ct, Montgomery, TX 77356-8251 2010-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952919490 Age Well Concierge Medicine Family Medicine 18441 Tx-105, Suite B, Montgomery, TX 77356 2020-07-21
1912549908 Kindra Siewood Speech-Language Pathologist 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 2019-10-11
1710545595 Vaughn Motley Bryant IIi Counselor 14740 Liberty Street, Montgomery, TX 77356 2019-06-05
1871157420 Belinda Kay Warren Delapena Counselor 3507 Whittier, Montgomery, TX 77356 2019-04-30
1841760071 Cvs Pharmacy Inc Pharmacy 20125 Eva Street, Montgomery, TX 77356 2018-11-30
1750863429 Kristina Lynn Knighten Specialist/Technologist 3602 Woodland Lane, Montgomery, TX 77356 2018-08-30
1770072415 Crosby Pharmacy & Wellness, LLC Pharmacy 18446 Tx - 105 Ste D, Montgomery, TX 77356 2018-05-08
1760999726 Everbright Dental Pllc Dentist 20212 Eva St., #160, Montgomery, TX 77356 2017-12-29
1821535261 Ramon Campbell Nurse Practitioner 108 Harbour Town Drive, Montgomery, TX 77356 2017-01-24
1447628995 Erica Everett Nurse Practitioner 110 April Wind Ct, Montgomery, TX 77356 2015-09-14
Find all providers in zip 77356

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043637572 Alejandra Elizabeth Ceron Physician Assistant 24740 Shady Oaks Blvd, Montgomery, TX 77316-3892 2014-03-21
1821295544 Edith C Agee Physician Assistant 2101 Chestnut St, Montgomery, AL 36106-1112 2007-06-27
1023194073 Norman Edward Hobbs Physician Assistant 2055 E South Blvd Ste 301, Montgomery, AL 36116-2003 2006-10-31
1770727497 Lauren Lane Bannon Physician Assistant 454 Taylor Rd, Montgomery, AL 36117-3563 2009-04-24
1144379348 Melanie A Hurston Physician Assistant 257 Winton M Blount Loop, Montgomery, AL 36117-3507 2007-01-09
1720154768 Michael D Easterling Physician Assistant 1510 Forest Ave, Montgomery, AL 36106-1517 2006-11-28
1477633279 Kendall F Roper Physician Assistant 2055 E South Blvd, Suite 601, Montgomery, AL 36116-2001 2006-10-16
1184726580 Amy D Rapp Physician Assistant 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 2006-09-05
1124065222 Darron E Forrest Physician Assistant 273 Winton M Blount Loop, Montgomery, AL 36117-3507 2006-05-31
1386604403 Michael T Mount Physician Assistant 2119 E South Blvd, #200, Montgomery, AL 36116-2495 2006-03-24
Find all providers in MONTGOMERY

Competitor

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City MONTGOMERY
Zip Code 77356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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