GREAT SURGICAL SERVICES PLLC (NPI# 1174070114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174070114 |
| Entity Type | Organization |
| Organization Name | GREAT SURGICAL SERVICES PLLC |
| Practice Address |
17514 Stonebrook Run Ct Tomball TX 77375-0065 |
| Mailing Address |
Po Box 2071 Tomball TX 77377-2071 |
| Practice Telephone | 2814636309 |
| Mailing Telephone | 2814636309 |
| Mailing Fax Number | 2814636835 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | OSCAR CARRION (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2814636309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17514 STONEBROOK RUN CT |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-0065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472939 | Skilled Surgical Services LLC | Physician Assistant | 17514 Stonebrook Run Ct, Tomball, TX 77375-0065 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114366721 | Tlcr Surgical Ltd. | Physician Assistant | 934 Arbor Pine, Tomball, TX 77375-2186 | 2013-06-17 |
| 1114218054 | Tlc Surgical Management, LLC | Physician Assistant | 934 Arbor Pne, Tomball, TX 77375-4183 | 2011-04-26 |
| 1790872141 | Donald Eugene Lix | Physician Assistant | 15971 Cottage Ivy Cir, Tomball, TX 77377-2542 | 2006-10-06 |
| 1316472939 | Skilled Surgical Services LLC | Physician Assistant | 17514 Stonebrook Run Ct, Tomball, TX 77375-0065 | 2017-04-21 |
| 1760920367 | Gregory Testamarck | Physician Assistant | 934 Arbor Pne, Tomball, TX 77375-4183 | 2017-02-03 |
| 1285172783 | Josh Hubbard | Physician Assistant | 934 Arbor Pne, Tomball, TX 77375-4183 | 2017-02-03 |
| 1003288994 | Luis Gerardo Caban | Physician Assistant | 934 Arbor Pine, Tomball, TX 77375 | 2015-10-30 |
| 1174900328 | Timothy Rosilez | Physician Assistant | 934 Arbor Pne, Tomball, TX 77375-4183 | 2015-04-27 |
| 1538570379 | Cleeton Crawford | Physician Assistant | 13603 Michel Rd, Tomball, TX 77375-6410 | 2014-05-14 |
| 1407278369 | Long Huynh | Physician Assistant | 13603 Michel Rd, Tomball, TX 77375-6410 | 2014-01-13 |
| Find all providers in TOMBALL | ||||
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| 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.