Central Texas Neuromonitoring, PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

CENTRAL TEXAS NEUROMONITORING, PLLC

Practice address

1108 Lavaca St Ste 110
#160
Austin, TX 78701-2110

Phone

(512) 717-9973

NPI assigned

Dec 9, 2015

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore Spinks, M.D.

Title

Managing Member

Phone

(512) 717-9973

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1265807754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 LAVACA ST STE 110",
            "address_2": "#160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LAVACA ST STE 110",
            "address_2": "#160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012110",
            "telephone_number": "512-717-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS NEUROMONITORING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "SPINKS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-717-9973",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Texas Kidney Associates
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• Central Texas Medical Specialists PLLC (Georgetown Cancer Center)
• Central Texas Medical Specialists PLLC (Austin Cancer Center)
• Central Texas Medical Specialists, PLLC (Austin Cancer Center)
• Central Texas Neurosurgery for Children
• Central Texas Nutrition Consultants
• Central Texas OB/GYN Associates, PLLC
• Central Texas Obstetrics and Gynecology Associates
• Central Texas Oncology Associates, P.a. (Southwest Regional Cancer Center)

• Clinical Neurophysiology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Neurophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.