EXCELSA SURGICAL ASSISTANT LLC (NPI# 1619590791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619590791 |
| Entity Type | Organization |
| Organization Name | EXCELSA SURGICAL ASSISTANT LLC |
| Practice Address |
1826 Pleasant Springs Ln Houston TX 77089-1498 |
| Mailing Address |
Po Box 751763 Houston TX 77275-1763 |
| Practice Telephone | 2818276521 |
| Mailing Telephone | 2818276521 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | JACQUELINE TAVARES-ALVARADO (OWNER) |
| Authorized Official Telephone | 2818276521 |
| Authorized Official Credential | LSA |
| 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 |
1826 PLEASANT SPRINGS LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77089-1498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376932574 | Jacqueline Tavares-alvarado | Physician Assistant | 1826 Pleasant Springs Ln, Houston, TX 77089-1498 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117040 | Sehat Medical Transporters | Non-emergency Medical Transport (VAN) | 11881 Gulf Pointe Dr, Apt D12, Houston, TX 77089 | 2019-08-01 |
| 1780165225 | Cindie Wilson-le | Physical Therapist | 11902 Resoure Pkwy, Houston, TX 77089 | 2018-08-23 |
| 1760963219 | Stephanie Balli | Occupational Therapy Assistant | 10800 Flora Mae Meadows, Houston, TX 77089 | 2018-08-23 |
| 1669965166 | Every Day Matters LLC | Technician | 10418 Sageglow Dr, Houston, TX 77089 | 2018-06-08 |
| 1457867723 | Lakiesha A Talbert | Counselor | 11519 Cecil Summers Way, Houston, TX 77089 | 2017-12-21 |
| 1245754936 | Think Moore | Voluntary or Charitable | 10630 Seaford Dr, Houston, TX 77089 | 2017-08-03 |
| 1386164887 | Bryan Nguyen | Dentist | 11911 Meadow Hawk Dr., Houston, TX 77089 | 2017-06-26 |
| 1750742771 | Sharon Allen | Speech-Language Pathologist | 11144 Fuqua St. #518, Houston, TX 77089 | 2016-03-18 |
| 1699130914 | Fresenius Medical Care Beamer, LLC | Clinic/Center | 12727 Beamer Road, Houston, TX 77089 | 2015-12-31 |
| 1255743811 | Natalie Marie Fitzgerald | Nurse Practitioner | 11914 Astoria Blvd., Suite 510, Houston, TX 77089 | 2014-05-29 |
| Find all providers in zip 77089 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| 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.