Organization Active NPI

Brain & Spine Surgery Associates, P.a.

  • Specialist
  • Cypress, TX
National Provider Identifier
1508049743
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H9023 Issued in TX
Legal business name
BRAIN & SPINE SURGERY ASSOCIATES, P.A.
Practice address
21212 Northwest Fwy
Suite 255
Cypress, TX 77429-5884
Phone
(281) 970-8225
Fax
(281) 970-8959
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Ms. Elizabeth M Ybarra
Title
Office Manager
Phone
(281) 970-8225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H9023 TX Primary

Addresses

Primary practice location

21212 Northwest Fwy
Suite 255
Cypress, TX 77429-5884

Mailing address

21212 Northwest Fwy
Suite 255
Cypress, TX 77429-5884
Phone (281) 970-8225

Other identifiers 1

IdentifierTypeStateIssuer
176069601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1508049743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "SUITE 255",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "281-970-8225",
            "fax_number": "281-970-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "SUITE 255",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "281-970-8225",
            "fax_number": "281-970-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN & SPINE SURGERY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-970-8225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176069601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.