Provider profile · NPI 1790430072

360 Surgical Assisting Of Central Texas,Llc

Physician Assistant, Surgical · Austin, TX · NPI 1790430072 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physician Assistant, Surgical

Enumerated

Feb 15, 2022

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING2950 E OLD SETTLERS BLVD UNIT 30 Round Rock, TX 78665-2478512-644-1931
LOCATION901 W BEN WHITE BLVD Austin, TX 78704-6903512-447-2211

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.