Southwest Neurosurgical Consultants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SOUTHWEST NEUROSURGICAL CONSULTANTS LLC

Practice address

71 Sierra Crest Dr
El Paso, TX 79902-1929

Phone

(915) 875-1265

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Shelina Martin

Title

Practice Administrator

Phone

(915) 875-1265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1053843433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SIERRA CREST DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SIERRA CREST DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021929",
            "telephone_number": "915-875-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROSURGICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHELINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-875-1265"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Mountain Star Medical Center PA
• Southwest Nephrology
• Southwest Nephrology/Internal Medicine, P.a.
• Southwest Neurospine Institute PA
• Southwest Neurospine Staffing LLC
• Southwest OB GYN Assoc., P.a.
• Southwest Orthopaedics
• Southwest Orthopedic Technologists
• Southwest Pediatric Night Clinic of El Paso, P.a.
• Southwest Physician Group PA

• Surgical Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.