NPIMap

Organization Active NPI

Proneuro Health LLC

  • Neurology Chiropractor
  • Flower Mound, TX
National Provider Identifier
1063913671
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
10667 Issued in TX
Legal business name
PRONEURO HEALTH LLC
Practice address
2601 Sagebrush Dr Ste 104
Flower Mound, TX 75028-2744
Phone
(972) 479-5179
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Ruben St Laurent, DC, DACNB
Title
Owner
Phone
(972) 479-5179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 10667 TX Primary

Addresses

Primary practice location

2601 Sagebrush Dr Ste 104
Flower Mound, TX 75028-2744

Mailing address

2601 Sagebrush Dr Ste 104
Flower Mound, TX 75028-2744
Phone (972) 479-5179

Other names 1

  • ProNeuro Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1063913671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SAGEBRUSH DR STE 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282744",
            "telephone_number": "972-479-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SAGEBRUSH DR STE 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282744",
            "telephone_number": "972-479-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONEURO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "ST LAURENT",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-479-5179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACNB"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "10667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProNeuro Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.