Look up the most recent NPI and PECOS records

Surgical Support Alliance Pllc

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107

PECOS Enrollment

Based on the most recent information from CMS, provider Surgical Support Alliance Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1982189643
Provider Type
Organization
Full Name
Surgical Support Alliance Pllc

Subpart
No
Enumeration Date
9/28/2018
Last Updated
2/20/2026

Contact Information

Practice Location

4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107

(210) 598-4262

Unlisted Fax

Mailing Location

1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339

(210) 598-4262

Unlisted Fax

Authorized Official

Brooks, Anthony (Ceo)

(210) 598-4268

Provider Taxonomies

Code	Description	License
Code 363AS0400X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Surgical Support Alliance Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Harrell, Kirstin Brooke

Cavazos, Valerie

Silva, Adam Jeffrey

Wright, Robert Wayne

Kalenits, Madeline Louise

Bush, Jared W

Pickering Wolski, Jeanelle Denise

Arrington, James Richard

Ballard, Chelsea Sones

Brooks, Joshua Ryan