Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 Surgical Assisting of Central Texas, LLC

Organization Surgical Physician Assistant · NPI 1790430072

360 Surgical Assisting of Central Texas, LLC is a Surgical Physician Assistant in Austin, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 W Ben White Blvd
Austin, TX 78704-6903
Phone: (512) 447-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1790430072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heriberto Bolanos — Certified Surgical First Assistant · (512) 644-1931
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address2950 E Old Settlers Blvd Unit 30, Round Rock, TX 78665-2478

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