PREFERRED SURGICAL ASSOCIATES OF TEXAS
NPI 1942717301
Physician Assistant - Surgical in Mesquite, TX

Active since January 08, 2018
1208 PAINTBRUSH ST, MESQUITE, TX 75149(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2019, Jan 8, 2018 (2 updates tracked since 2018).

About Preferred Surgical Associates Of Texas NPPES

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

PREFERRED SURGICAL ASSOCIATES OF TEXAS (NPI 1942717301) is a healthcare organization registered as a surgical in Mesquite, Texas and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Dallas and lists Johnny Ray Staton, Director, as its authorized official.

NPPES Registry Identity

NPI1942717301
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePREFERRED SURGICAL ASSOCIATES OF TEXAS
Location Address1208 PAINTBRUSH STMesquite, TX 75149-2634
Mailing AddressPo Box 938Rowlett, TX 75030-0938 · (214) 227-2457 · Fax (214) 764-0880
Fax(214) 764-0880
Organization SubpartNo
Authorized OfficialJohnny Ray StatonDirector · (214) 980-9437
Enumeration DateJanuary 8, 2018
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
NPI 1942717301 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
1208 PAINTBRUSH ST, Mesquite, TX 75149

Secondary Practice Location 1

Location 12627 Live Oak St Apt 11051Dallas, TX 75204-5710 · Phone (214) 980-9437

Other Identifiers 1

Medicaid1922530591TX

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.

Physician Assistant (Surgical)
1208 PAINTBRUSH ST
MESQUITE, TX 75149

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 Preferred Surgical Associates Of Texas's NPI number?

The NPI number for Preferred Surgical Associates Of Texas is 1942717301. It was assigned to this organization in the NPPES registry on January 8, 2018.

Where is Preferred Surgical Associates Of Texas located?

Preferred Surgical Associates Of Texas is located at 1208 Paintbrush St, Mesquite, TX 75149. The listed phone number is (214) 227-2457.

What is Preferred Surgical Associates Of Texas'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 Preferred Surgical Associates Of Texas was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.