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

Khusboo Surtani, PA-C

Individual provider Behavior Technician · NPI 1023665221

Khusboo Surtani, PA-C is a Physician Assistant in Live Oak, Texas. Qualified in 2023, 3 years ago. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12410 Toepperwein Rd
Live Oak, TX 78233-3230
Phone: (210) 742-6555
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17609 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1023665221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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