NPI age
7 years
Enumerated 2018-08-14
● Active Type 2 · Organization
Eastlake Surgical Associates, Llc
Eastlake Surgical Associates, Llc is 1 of 1890 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moreland
Licensed Surgical Assistant
Last NPPES update
2022-03-30
Source: monthly bulk 2026-05
How this organization compares
Across 1890 active physician assistant providers in Texas.
NPI age
7 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
2007 Shasta Ridge Dr
Conroe, TX 773044697
Mailing address
2007 Shasta Ridge Dr
Conroe, TX 773044697
Authorized official
Tiffany Brooke Moreland, LSA
Licensed Surgical Assistant
📞 9364447071
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Tiffany Moreland, LSA, CSFA Physician Assistant NPI 1811283310
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.