Neuro Serve L.L.C.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NEURO SERVE L.L.C.

Practice address

2626 Calder St
Ste. 101
Beaumont, TX 77702-1952

Phone

(409) 749-0200

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Barry David Dubose, CNIMNPI 1417161258

Title

President

Phone

(409) 749-4695

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry David Dubose, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Beaumont, TX
  • NPI 1417161258
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407061138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CALDER ST",
            "address_2": "STE. 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021952",
            "telephone_number": "409-749-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CALDER ST",
            "address_2": "STE. 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021952",
            "telephone_number": "409-749-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SERVE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-749-4695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.