East Texas Spinal Monitoring, PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

EAST TEXAS SPINAL MONITORING, PLLC

Practice address

22999 US-59 Suite 220
Kingwood, TX 77339

Phone

(832) 998-8221

Fax

(210) 598-7268

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Felicia Alderete

Title

Legal Operations Manager

Phone

(210) 598-2801

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1538536446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 545 PO BOX 660046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660046",
            "telephone_number": "832-998-8221",
            "fax_number": "210-598-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 US-59 SUITE 220",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "832-998-8221",
            "fax_number": "210-598-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS SPINAL MONITORING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ALDERETE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "LEGAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy G Dyke, MMFT, LPC
• Valoria Ealy, LCSW
• Angela Dawn Earhart, M.D.
• Nicholas Alexander Early, MD
• East Texas Clinical Services, Inc (CHI St. Luke's Health Neighborhood Pharmacy #1)
• Omni Ebow, RDN
• Ecr Clinic PA
• John D Edwards, MD
• Kimra Kaesha Edwards
• Taylor Edwards

• Clinical Neurophysiology Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Neurophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.