Texas Mensa Neurosurgery Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

TXSA0098 Issued in TX

Legal business name

TEXAS MENSA NEUROSURGERY MANAGEMENT

Practice address

9550 Spring Green Blvd
Suite 408-358
Katy, TX 77494-3758

Phone

(832) 451-9031

Fax

(832) 437-2915

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. David Frierson Smith, LSA

Title

Ceo

Phone

(832) 451-9031

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1407306285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 SPRING GREEN BLVD",
            "address_2": "SUITE 408-358",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943758",
            "telephone_number": "832-451-9031",
            "fax_number": "832-437-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 SPRING GREEN BLVD",
            "address_2": "SUITE 408-358",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943758",
            "telephone_number": "832-451-9031",
            "fax_number": "832-437-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MENSA NEUROSURGERY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRIERSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-451-9031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "TXSA0098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSISTANT",
            "identifier": "TXSA0098",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Katy, TX
• Providers in Katy, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.