MIRROR IMAGE SURGICAL ASSISTING LLC
NPI 1013502905
Specialist/Technologist, Other - Surgical Assistant in Prosper, TX

Active since March 03, 2021
1417 JENNINGS CT, PROSPER, TX 75078(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, Mar 3, 2021 (2 updates tracked since 2021).

About Mirror Image Surgical Assisting Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRROR IMAGE SURGICAL ASSISTING LLC (NPI 1013502905) is a healthcare organization registered as a surgical assistant in Prosper, Texas and active in the NPI registry since March 2021. The organization lists Ebony Love, Owner, as its authorized official.

NPPES Registry Identity

NPI1013502905
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameMIRROR IMAGE SURGICAL ASSISTING LLC
Location Address1417 JENNINGS CTProsper, TX 75078-5018
Mailing AddressPo Box 2550Rowlett, TX 75030-2550 · (214) 227-2457 · Fax (214) 764-0880
Fax(214) 764-0880
Organization SubpartNo
Authorized OfficialEbony LoveOwner · (214) 227-2457
Enumeration DateMarch 3, 2021
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1013502905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
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.
1417 JENNINGS CT, Prosper, TX 75078

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Assistant)
1417 JENNINGS CT
PROSPER, TX 75078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirror Image Surgical Assisting LLC's NPI number?

The NPI number for Mirror Image Surgical Assisting LLC is 1013502905. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Mirror Image Surgical Assisting LLC located?

Mirror Image Surgical Assisting LLC is located at 1417 Jennings Ct, Prosper, TX 75078. The listed phone number is (214) 227-2457.

What is Mirror Image Surgical Assisting LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Mirror Image Surgical Assisting LLC was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.