Spine Informatics Austin, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SPINE INFORMATICS AUSTIN, LLC

Practice address

110 Wild Basin Rd Ste 250
West Lake Hills, TX 78746-3352

Phone

(512) 531-9912

Fax

(512) 537-1537

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Lee Devries Jr., INVESTOR

Title

General Manager

Phone

(512) 913-1834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1417476912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 SWEET AUTUMN CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351524",
            "telephone_number": "512-913-1834",
            "fax_number": "512-537-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILD BASIN RD STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463352",
            "telephone_number": "512-531-9912",
            "fax_number": "512-537-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INFORMATICS AUSTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "512-913-1834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "INVESTOR"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Prosthetics Austin Inc
• June Marie Spann, M.D.
• Alexandria Spears
• Spencer Counseling & Consulting
• Spinal Rehab PA
• Katlyn Rae Springer, PA-C
• St Davids Healthcare Partnership LP LLP (St. David's Rehabilitation - The Hill)
• Natalie Arlette Stanciu, M.D.
• Rebecca Staudt, OTR
• William Steele Jr.

• Radiology Clinic/Center in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.