NPI age
11 years
Enumerated 2014-08-21
● Active Type 2 · Organization
Pure Surgical Assistant
Pure Surgical Assistant 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
Song
Manager
Last NPPES update
2014-09-10
Source: monthly bulk 2026-05
How this organization compares
Across 1890 active physician assistant providers in Texas.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
475 Bendwood Dr
Houston, TX 770248813
Mailing address
Po Box 79576
Houston, TX 772799576
Authorized official
Qijun Song, LSA, SA-C
Manager
📞 7132340081
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Qijun Song, LSA, SA-C Specialist/Technologist, Other NPI 1982903878
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.