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

Guillermo Roberto Fonseca, LSA

Individual provider Surgical Assistant · NPI 1407024052

Guillermo Roberto Fonseca, LSA is a Surgical Assistant in Bellaire, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
Specialties on file
3

Practice location Address checks out

5600 Saint Moritz St
Bellaire, TX 77401-2617
Phone: (832) 646-8021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X · Licence SA00378 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence SA00378 (TX)

Record details

NPI number1407024052
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorNo
NPI enumeratedFebruary 18, 2008
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

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