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

Phyllis Heredia, CSA

Individual provider Surgical Technologist · NPI 1417207101

Phyllis Heredia, CSA is a Surgical Technologist in Houston, Texas. Licensed in Kansas. Registered with an NPI since 2012.

Licensed in
KS
In the registry since
2012
Specialties on file
2

Practice location Address checks out

7324 SW Fwy Ste 1550
Houston, TX 77074-2053
Phone: (713) 779-9800
Fax: (713) 779-9813
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 3933 (KS)
Surgical Technologist Taxonomy 246ZS0410X · Licence 3933 (KS)

Record details

NPI number1417207101
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorNo
NPI enumeratedSeptember 11, 2012
Last updated in NPPESFebruary 18, 2014
Mailing address7324 Sw Freeway, Suite 1550, Houston, TX 77074-2053

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