Neuro Tech, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEURO TECH, INC.

Practice address

1100 Glade Rd Ste 2
Colleyville, TX 76034-4227

Phone

(940) 765-8166

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Robert Josh Pierce

Title

Coo

Phone

(940) 765-8166

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1104660810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WASHINGTON TER",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLADE RD STE 2",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344227",
            "telephone_number": "940-765-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO TECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-765-8166"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.