PEASIE SURGICAL ASSOCIATES, PA
NPI 1104009281
Clinic/Center - Ambulatory Surgical in Houston, TX

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

Active since December 11, 2007

9300 KIRBY DR, SUITE 100, HOUSTON, TX 77054(832) 201-5157 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical

About PEASIE SURGICAL ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Peasie Surgical Associates, Pa, a provider established in Houston, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104009281 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Jodie R Ellis (Business Office Supervisor)

NPI: 1104009281 Verify this NPI
Provider Name: PEASIE SURGICAL ASSOCIATES, PA
Entity Type: Organization
Location Address: 9300 KIRBY DR SUITE 100 HOUSTON, TX 77054
Location Phone: (832) 201-5157
Mailing Address: PO BOX 1759 DEPT 764 HOUSTON, TX 77251
Mailing Phone: (832) 201-5157
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-11-2007
Last Update Date: 12-11-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Ambulatory Surgical
Taxonomy Code: 261QA1903X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JODIE R ELLIS
Authorized Official Title: BUSINESS OFFICE SUPERVISOR
Authorized Official Phone: (832) 201-5157