Neurotex Equipment & Supply

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEUROTEX EQUIPMENT & SUPPLY

Practice address

1356 Old Creek Dr
Tyler, TX 75703-7642

Phone

(903) 534-8812

Fax

(903) 939-9149

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Catherine Boldery

Title

President/Ceo

Phone

(903) 534-8812

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1346717634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 OLD CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037642",
            "telephone_number": "903-534-8812",
            "fax_number": "903-939-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 OLD CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037642",
            "telephone_number": "903-534-8812",
            "fax_number": "903-939-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTEX EQUIPMENT & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BOLDERY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "903-534-8812"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro Diagnostics LLC
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• New Era Therapeutic Counseling Center, LLC
• New Horizon Women'S Healthcare, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.