PHYLLIS HEREDIA CSA
NPI 1417207101
Specialist/Technologist, Other - Surgical Assistant in Houston, TX

Q: What is Phyllis Heredia's NPI number?

The NPI number for Phyllis Heredia is 1417207101. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Q: What is Phyllis Heredia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phyllis Heredia was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 11, 2012

7324 SW FREEWAY, SUITE 1550, HOUSTON, TX 77074(713) 779-9800(713) 779-9813 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phyllis Heredia Csa NPPES

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

PHYLLIS HEREDIA CSA (NPI 1417207101) is an individual surgical assistant in Houston, Texas, licensed in Kansas (3933) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1417207101

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NamePHYLLIS HEREDIACredential: CSA

Location Address7324 SW FREEWAY, SUITE 1550Houston, TX 77074-2053

Mailing Address7324 Sw Freeway, Suite 1550Houston, TX 77074-2053 · (713) 779-9800

Phone(713) 779-9800

Fax(713) 779-9813

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateFebruary 18, 2014

✔ NPI 1417207101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in KS · 3933

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.

Also ListedTaxonomy 246ZS0400X · License 3933 (KS)

7324 SW FREEWAY, SUITE 1550, Houston, TX 77074

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Other Providers at the Same Location NPPES 14

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

LETOSHA MCCLELLAN CST/CFA

Physician Assistant (Surgical)

7324 SW FREEWAY, SUITE 1550, SUITE 250
HOUSTON, TX 77074

Harris County (713) 779-9800

KATRINA MARIA WINTERS RSA

Specialist/Technologist, Other (Surgical Assistant)