FARLEY ANTONIO HERNANDEZ BOLIVAR (NPI# 1568929768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568929768 |
| Entity Type | Individual |
| Full Name | FARLEY ANTONIO HERNANDEZ BOLIVAR |
| Credential | SA-C |
| Practice Address |
13203 Parkway Hills Dr Houston TX 77077-2762 |
| Practice Telephone | 7134097635 |
| Mailing Telephone | 7134097635 |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-545 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
13203 PARKWAY HILLS DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1588284947 | Solangel Ivette Santos Armas | Specialist/Technologist, Other | 2926 Barker Cypress Rd Apt 5207, Houston, TX 77084-7939 | 2020-04-25 |
| 1225663719 | Yosit Ponce Gutierrez | Specialist/Technologist, Other | 8423 Grand Knolls Dr, Houston, TX 77083-5586 | 2020-03-05 |
| 1821623505 | Juan Arturo Ramirez Pereyra | Specialist/Technologist, Other | 11000 Kinghurst Dr Unit 101, Houston, TX 77099-3453 | 2020-03-03 |
| 1972151041 | Yissel Codorniu Rodriguez | Specialist/Technologist, Other | 2600 Westerland Dr Apt 708, Houston, TX 77063-3347 | 2019-08-30 |
| 1407414741 | Andreina Maritza Escobar | Specialist/Technologist, Other | 611 Dairy Ashford Rd Apt 116, Houston, TX 77079-3902 | 2019-06-02 |
| 1124684311 | Texas Excellent Surgical Assistant LLC | Specialist/Technologist, Other | 12007 Meadow Place Dr, Houston, TX 77071-2473 | 2019-05-14 |
| 1386104537 | Faisal Habib Cheema | Specialist/Technologist, Other | 4707 Pin Oak Park Apt 1002, Houston, TX 77081-2255 | 2019-03-23 |
| 1427514207 | Ace Surgical Assistant Associates LLC | Specialist/Technologist, Other | 14403 Walters Rd # 680366, Houston, TX 77014-1336 | 2019-02-16 |
| 1407320427 | Javier Alejandro Perez | Specialist/Technologist, Other | 5007 Fm 1960 Rd W Apt 434, Houston, TX 77069-4555 | 2019-01-12 |
| Find all providers in HOUSTON | ||||
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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.