NPIMap

Organization Active NPI

Neurosurgical Affiliates of Texas, PA

  • Neurological Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1437935137
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL AFFILIATES OF TEXAS, PA
Practice address
613 Elizabeth St Ste 200
Corpus Christi, TX 78404-2221
Phone
(361) 434-0966
Fax
(361) 356-8880
NPI assigned
Sep 7, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Scott Flacks
Title
Coo
Phone
(916) 441-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

613 Elizabeth St Ste 200
Corpus Christi, TX 78404-2221

Mailing address

PO Box 2700
Granite Bay, CA 95746-2700
Phone (916) 441-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201000598 TX Part B Supplier - Clinic/Group Practice 1153779137 Receives reassigned benefits from 26 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1437935137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2700",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957462700",
            "telephone_number": "916-441-0400",
            "fax_number": "916-441-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042221",
            "telephone_number": "361-434-0966",
            "fax_number": "361-356-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL AFFILIATES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FLACKS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "916-441-0400"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.