360 Surgical Assisting of Central Texas,llc
NPI 1790430072ActiveOrganization· Physician Assistant, Surgical· Austin, TX
Physician Assistant, Surgical in Austin, Texas, registered in NPPES in February 2022. The authorized official on file is Heriberto Bolanos, Certified Surgical First Assistant.
Overview
| NPI | 1790430072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2022 |
| Last updated in NPPES | Feb 15, 2022 |
| Certified by provider | Feb 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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