NPI age
18 years
Enumerated 2007-12-11
● Active Type 2 · Organization
Lake Travis Surgical Associates PA
Lake Travis Surgical Associates PA is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellis
Business Office Manager
Last NPPES update
2008-12-23
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
9300 Kirby Drive, Suite 100
Houston, TX 77054
Mailing address
Po Box 1759, Dept 765
Houston, TX 772511759
Authorized official
Jodie R Ellis, CPC-H
Business Office Manager
📞 8322015157
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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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.