P Praxis·MD
● Active Type 2 · Organization

Premier General And Colorectal Surgery, PA

Specialist·Shenandoah, TX· NPI 1760738207 · Enumerated 2012 · 13 years on NPI
Premier General And Colorectal Surgery, PA is 1 of 4038 specialist organizations in Texas.
NPI age
13 years
Enumerated 2012-08-02
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kim
Office Manager
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05

How this organization compares

Across 4038 active specialist providers in Texas.

NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-08Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
129 Vision Park Blvd Ste 212
Shenandoah, TX 773843024
📞 8323032922fax 8669231223
Mailing address
129 Vision Park Blvd Ste 212
Shenandoah, TX 773843024
📞 8323032922fax 8669231223

Authorized official

Cindy Kim
Office Manager
📞 8323032922

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #N3791 taxonomy 174400000X

Identifiers

TypeValueNotes
01 K0169364 DPS
01 N3791 LICENSE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • premier general and colorectal surgery PA
    Type code 3 recorded 2022-06-15

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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