KC Neuromonitoring, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KC NEUROMONITORING, LLC

Practice address

32515 Westwood Square East Dr
Magnolia, TX 77354-3441

Phone

(832) 729-0197

Fax

(936) 570-0231

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Christine Gudan, CNIM

Title

Owner

Phone

(832) 729-0197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1376922815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32515 WESTWOOD SQUARE EAST DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543441",
            "telephone_number": "832-729-0197",
            "fax_number": "936-570-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32515 WESTWOOD SQUARE EAST DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543441",
            "telephone_number": "832-729-0197",
            "fax_number": "936-570-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "GUDAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-729-0197",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.