Organization Active NPI

Springwoods Neurodiagnostics LLC

  • Physiological Laboratory
  • Shenandoah, TX
National Provider Identifier
1659020865
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SPRINGWOODS NEURODIAGNOSTICS LLC
Practice address
17183 I 45 S Ste 590
Shenandoah, TX 77385-3315
Phone
(936) 760-2230
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Frank Gray III
Title
Director
Phone
(844) 212-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

17183 I 45 S Ste 590
Shenandoah, TX 77385-3315

Mailing address

17183 I 45 S Ste 590
Shenandoah, TX 77385-3315
Phone (936) 760-2230

National Provider Directory

National Provider Directory

Locations

17183 Interstate 45 S
Ste 590
Shenandoah, TX 77385
Phone (936) 760-2230

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1659020865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 590",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "936-760-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 590",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "936-760-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWOODS NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "844-212-5321",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.