CLA SURGICAL ASSISTING (NPI# 1154405462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154405462 |
| Entity Type | Organization |
| Organization Name | CLA SURGICAL ASSISTING |
| Practice Address |
2600 Saint Michael Dr Texarkana TX 75503-2372 |
| Mailing Address |
Po Box 11219 Fort Worth TX 76110-0219 |
| Practice Telephone | 9036141000 |
| Mailing Telephone | 8172947444 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CECILIO L ALVARADO (OWNER) |
| Authorized Official Telephone | 8172947444 |
| Authorized Official Credential | CFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZN0300X |
Specialist/Technologist, Other Specialization: Nephrology |
680751 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CFA | 680751 | 01 |
| Street Address |
2600 SAINT MICHAEL DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410637 | Jayendra D. Patel | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-08 |
| 1629682802 | Emily Rupp | Physical Medicine & Rehabilitation | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-09-03 |
| 1275168098 | Megan Hawley | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-03-12 |
| 1811521727 | Jennifer White | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-29 |
| 1821622002 | Jamie Danielle Hawthorne | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-26 |
| 1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
| 1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
| 1972075141 | Joshua Trenton Pinkham | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-12-27 |
| 1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
| 1356827935 | Jonathan Miller | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 246ZN0300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Nephrology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563057 | Nephrology Associates of Greater Houston, Pllc | Specialist/Technologist, Other | 1650 W Baker Rd, Baytown, TX 77521-2284 | 2020-09-18 |
| 1134262074 | Central Texas Kidney Assoc. | Specialist/Technologist, Other | 408 W.45th St, Austin, TX 78751 | 2007-02-14 |
| 1396848313 | Greater Houston Kidney Specialists LLP | Specialist/Technologist, Other | 10023 South Main Suite C-9, Main Medical Plaza, Houston, TX 77025 | 2006-09-06 |
| 1881606879 | South Texas Nephrology, P.a | Specialist/Technologist, Other | 8038 Wurzbach Rd, #480, San Antonio, TX 78229-3817 | 2006-08-12 |
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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.