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360 SURGICAL ASSISTING OF CENTRAL TEXAS,LLC
NPI 1790430072
Physician Assistant - Surgical in Austin, TX

Active since February 15, 2022
901 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 447-2211 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 360 Surgical Assisting Of Central Texas,llc NPPES

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

360 SURGICAL ASSISTING OF CENTRAL TEXAS,LLC (NPI 1790430072) is a healthcare organization registered as a surgical in Austin, Texas and active in the NPI registry since February 2022. The organization lists Heriberto Bolanos, Certified Surgical First Assistant, as its authorized official.

NPPES Registry Identity

NPI1790430072
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business Name360 SURGICAL ASSISTING OF CENTRAL TEXAS,LLC
Location Address901 W BEN WHITE BLVDAustin, TX 78704-6903
Mailing Address2950 E Old Settlers Blvd Unit 30Round Rock, TX 78665-2478 · (512) 644-1931
Phone(512) 447-2211
Organization SubpartNo
Authorized OfficialHeriberto BolanosCertified Surgical First Assistant · (512) 644-1931
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1790430072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
901 W BEN WHITE BLVD, Austin, TX 78704
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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 20

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

DR. ASHLEY NICOLE ROSS
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 816-5648
MERCEDES CORAL JOLLEY DO
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 816-5648
CAITLIN REEDHOLM PHARMD
Pharmacist
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 816-6160
MELISSA ANN CULLUM MD
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 996-5880
MR. DAVID ALAN STRONG RRT
Respiratory Therapist, Registered
901 W BEN WHITE BLVD, RESPIRATORY THERAPY DEPT ST DAVIDS SOUTH AUSTIN HOSPITA
AUSTIN, TX 78704
Travis County (512) 416-6157
WHITNEY QUITTA DHYNE PA
Physician Assistant (Medical)
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (128) 168-6115
DR. RANSOME ANTHONY DREXLER MD
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 816-5648
ANNA CATHRYN PARKER MD
Student in an Organized Health Care Education/Training Program
901 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 816-5646

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 360 Surgical Assisting Of Central Texas,llc's NPI number?

The NPI number for 360 Surgical Assisting Of Central Texas,llc is 1790430072. It was assigned to this organization in the NPPES registry on February 15, 2022.

Where is 360 Surgical Assisting Of Central Texas,llc located?

360 Surgical Assisting Of Central Texas,llc is located at 901 W Ben White Blvd, Austin, TX 78704. The listed phone number is (512) 447-2211.

What is 360 Surgical Assisting Of Central Texas,llc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for 360 Surgical Assisting Of Central Texas,llc was last updated on February 15, 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.