Organization Active NPI

Platinum Neurodiagnostics

  • Health Service Clinic/Center
  • Beaumont, TX
National Provider Identifier
1528196458
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PLATINUM NEURODIAGNOSTICS
Practice address
3986 Dowlen Rd
Beaumont, TX 77706-6847
Phone
(800) 964-2106
Fax
(888) 545-4108
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Craig A Thiry, D.O.
Title
President
Phone
(800) 964-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X TX Primary

Addresses

Primary practice location

3986 Dowlen Rd
Beaumont, TX 77706-6847

Mailing address

5535 Memorial Dr
Suite F #414
Houston, TX 77007-8021
Phone (800) 964-2106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1528196458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL DR",
            "address_2": "SUITE F #414",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078021",
            "telephone_number": "800-964-2106",
            "fax_number": "888-545-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066847",
            "telephone_number": "800-964-2106",
            "fax_number": "888-545-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM NEURODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-964-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.