SURGICAL ASSISTING OF EAST TEXAS, LLC (NPI# 1588874887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588874887 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSISTING OF EAST TEXAS, LLC |
| Practice Address |
4569 County Road 234d Henderson TX 75652-3812 |
| Mailing Address |
Po Box 10084 Tyler TX 75711-0084 |
| Practice Telephone | 9036465350 |
| Practice Fax Number | 8885011092 |
| Mailing Telephone | 9036465350 |
| Mailing Fax Number | 8885011092 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MELISSA BURTON (PRESIDENT) |
| Authorized Official Telephone | 9036465350 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | SA00364 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | SA00364 | 01 |
| Street Address |
4569 COUNTY ROAD 234D |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427104215 | Melissa K Burton | Specialist/Technologist, Other | 4569 County Road 234d, Henderson, TX 75652-3812 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386018141 | Robert Gannon | Specialist | 1689 Sebring Hills Dr, Henderson, NV 89052-6930 | 2015-11-17 |
| 1992135149 | Jennifer Coon | Specialist | 158 Coyote Hills St, Henderson, NV 89012-6003 | 2013-11-24 |
| 1528325990 | Gary Stephen Marrone | Specialist | 5 Quail Hollow Dr, Henderson, NV 89014-2144 | 2012-04-23 |
| 1194094870 | Jeffrey Allyn Gahr | Specialist | 391 Marlin Cove Rd, Henderson, NV 89012-4830 | 2011-12-23 |
| 1639308943 | Robert David Lieberman | Specialist | 866 Seven Hills Dr Ste 201, Henderson, NV 89052 | 2009-07-08 |
| 1811139041 | Warren Hankins Md,pc. | Specialist | 9053 S Pecos Rd Ste 3000, Henderson, NV 89074-7179 | 2009-04-02 |
| 1114176427 | Healthy Connections By Joanie | Specialist | 2 Commerce Center Dr, Suite A-10, Henderson, NV 89014-2334 | 2008-09-10 |
| 1760679161 | Joseph P Klein | Specialist | 623 Pinetop Lake St, Henderson, NV 89002-0922 | 2007-09-28 |
| 1043419229 | Billy J Greenville | Specialist | 709 S Main St, Henderson, TX 75654-3946 | 2007-07-17 |
| 1619194768 | Nutan K Parikh Md Ltd Apc | Specialist | 2904 W. Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052 | 2007-04-19 |
| Find all providers in HENDERSON | ||||
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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.