NPIMap

Organization Active NPI

Neurosym

  • Electroneurodiagnostic Specialist/Technologist
  • Frisco, TX
National Provider Identifier
1689979031
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
NEUROSYM
Practice address
8408 Brown Stone LN
Frisco, TX 75034-6277
Phone
(972) 971-6161
NPI assigned
Jan 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Mr. Jason Lane Bourque, MBA
Title
President
Phone
(972) 971-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

8408 Brown Stone LN
Frisco, TX 75034-6277

Mailing address

8408 Brown Stone LN
Frisco, TX 75034-6277
Phone (972) 971-6161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1689979031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 BROWN STONE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346277",
            "telephone_number": "972-971-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 BROWN STONE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346277",
            "telephone_number": "972-971-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-971-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.