Minimal Access Spine Technology

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

MINIMAL ACCESS SPINE TECHNOLOGY

Practice address

4582 Kingwood Dr
Suite 187
Kingwood, TX 77345-2639

Phone

(281) 462-7684

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Colin Vadheim

Title

President

Phone

(713) 231-7720

Specialties & licenses 1

Addresses

Other names 1

• EBOS Doing business as

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1073920732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1651",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321651",
            "telephone_number": "281-462-7684",
            "fax_number": "888-832-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 KINGWOOD DR",
            "address_2": "SUITE 187",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452639",
            "telephone_number": "281-462-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMAL ACCESS SPINE TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "VADHEIM",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-231-7720"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millennium Physicians Associaton, PLLC
• Danielle Miller
• Jason Christopher Miller, MD
• Maryssa Lynne Milligan
• Rachel Gold Min, PA-C
• Tanya Yamileth Mireles
• Denina Mitchell, LPC
• Nikita Lynn Mitchell, APRN-PMHNP
• Bharat Mittal, DO
• Erin Mixon-Soriano, BCBA,LBA

• Electrodiagnostic Medicine Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.