Organization Active NPI

Integris Neuro LLC

  • Physiological Laboratory
  • Highland Village, TX
National Provider Identifier
1043770621
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
INTEGRIS NEURO LLC
Practice address
2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193
Phone
(877) 944-2111
Fax
(877) 492-1768
NPI assigned
Mar 21, 2019
Last updated
Jan 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Charles EstesNPI 1508885484
Title
Owner
Phone
(877) 944-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193

Mailing address

2012 Justin Rd Ste 200-H
Highland Village, TX 75077-7193
Phone (877) 944-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sestes@integrisneuro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507002306 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3577805852 Practice locations: Highland Village, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1043770621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 200-H",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "877-944-2111",
            "fax_number": "877-492-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 200-H",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "877-944-2111",
            "fax_number": "877-492-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-944-2111"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sestes@integrisneuro.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2012 Justin Rd Ste 200-H",
            "city": "Highland Village",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750777193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.