BOTANIC SURGICAL GROUP, LLC (NPI# 1225660087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225660087 |
Entity Type | Organization |
Organization Name | BOTANIC SURGICAL GROUP, LLC |
Practice Address |
21115 Lexxe Creek Ct Cypress TX 77433-7658 |
Mailing Address |
Po Box 2550 Rowlett TX 75030-2550 |
Practice Telephone | 2142272457 |
Practice Fax Number | 2147640880 |
Mailing Telephone | 2142272457 |
Mailing Fax Number | 2147640880 |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-09-01 |
Authorized Official Name | NATALIE J JORDAN (OWNER) |
Authorized Official Telephone | 7134463284 |
Authorized Official Credential | CSFA |
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 |
21115 LEXXE CREEK CT |
City | CYPRESS |
State | TX |
Zip Code | 77433-7658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831639749 | Natalie Joan Jordan | Physician Assistant | 21115 Lexxe Creek Ct, Cypress, TX 77433-7658 | 2017-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108185 | Tanisha Cosby Harrell | Counselor | 9212 Fry Road Ste 105, Pmb 208, Cypress, TX 77433 | 2020-06-11 |
1548896475 | Fresenius Medical Care Spring Cypress Home, LLC | Clinic/Center | 20435 Cypresswood Dr, Cypress, TX 77433 | 2020-03-23 |
1144854803 | Cypress Dental,p.a | Clinic/Center | 17823 Longenbaugh Dr, Suite D, Cypress, TX 77433 | 2020-03-02 |
1366082752 | Alicia (ali) Jackson | Social Worker | 15040 Fairfield Place, Cypress, NA 77433 | 2020-01-14 |
1235771395 | Gabriela Antonieta Palacios | Dentist | 8943 Texas Honeysuckle Trail, Cypress, TX 77433 | 2019-10-10 |
1902456403 | Vera Lee Todd | Technician | 11507 Timberly Park Lane, Cypress, TX 77433 | 2019-09-17 |
1609422898 | Florentino Zuniga Jr. | Pharmacist | 28550 Us-290, Cypress, TX 77433 | 2019-08-13 |
1164084794 | Jaclyn D Satchel | Social Worker | 19906 Virginia Falls Lane, Cypress, TX 77433 | 2019-07-03 |
1942860234 | Focal Point Eye Care LLC | Clinic/Center | 26960 Hempstead Hwy, Cypress, TX 77433 | 2019-06-18 |
1598328759 | Costco Wholesale Corporation | Pharmacy | 26960 Northwest Fwy, Cypress, TX 77433 | 2019-04-15 |
Find all providers in zip 77433 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831639749 | Natalie Joan Jordan | Physician Assistant | 21115 Lexxe Creek Ct, Cypress, TX 77433-7658 | 2017-02-27 |
1538610480 | Jonathan Dunmeyer | Physician Assistant | 16710 Chestnut Square Dr, Cypress, TX 77433-4771 | 2016-10-16 |
1164878666 | Alain Alvarez | Physician Assistant | 17702 Wind Mist Ln, Cypress, TX 77433-1502 | 2016-05-13 |
1972980894 | Holly Baker | Physician Assistant | 19006 Blue Vanga Ln, Cypress, TX 77429-6568 | 2015-04-29 |
1750654240 | A Plus Operational Services Inc. | Physician Assistant | 21216 Northwest Fwy Ste 250, Cypress, TX 77429-4778 | 2012-02-15 |
1871733816 | Sks Assistants LLC | Physician Assistant | 17515 Spring Cypress Rd # C-228, Cypress, TX 77429-2688 | 2009-03-04 |
1710005392 | Jorge Alfonso Correa | Physician Assistant | 8022 Oxbow Manor Ln, Cypress, TX 77433-0162 | 2007-03-26 |
1750407813 | Independent Surgical Assistance | Physician Assistant | 13938 Tribe Dr, Cypress, TX 77429-4157 | 2007-03-21 |
1396811162 | Julio Duarte Sr. | Physician Assistant | 20935 S Amber Willow Trl, Cypress, TX 77433-6041 | 2006-11-25 |
1114534609 | Nyanna Leigh Arana | Physician Assistant | 21216 Northwest Fwy Ste 250, Cypress, TX 77429-4778 | 2020-09-28 |
Find all providers in CYPRESS |
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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.