Houston Brain and Spine, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M2187 Issued in TX

Legal business name

HOUSTON BRAIN AND SPINE, LLC

Practice address

2616 Mason St
Houston, TX 77006-3116

Phone

(281) 333-1300

Fax

(281) 333-1303

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Jeremy C Wang, M.D.

Title

Owner

Phone

(281) 333-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1306184064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MASON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063116",
            "telephone_number": "281-333-1300",
            "fax_number": "281-333-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MASON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063116",
            "telephone_number": "281-333-1300",
            "fax_number": "281-333-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON BRAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-333-1300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Houston, TX
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.