East Texas Minimally Inva Micro NS

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

EAST TEXAS MINIMALLY INVA MICRO NS

Practice address

703 E Marshall Ave
Suite 3004
Longview, TX 75601-5500

Phone

(903) 238-8110

Fax

(903) 238-8190

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Esther M Tividad, R.N.

Title

Office Manager

Phone

(903) 238-8110

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Kyle Dorman, MD

  • Neurological Surgery Physician
  • Odessa, TX
  • NPI 1215030333
  NPD (past)
• Amy N Girand, PA

  • Physician Assistant
  • Gunnison, CO
  • NPI 1770596272
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1730378449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE",
            "address_2": "SUITE 3004",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-238-8110",
            "fax_number": "903-238-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE",
            "address_2": "SUITE 3004",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-238-8110",
            "fax_number": "903-238-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MINIMALLY INVA MICRO NS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "TIVIDAD",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-238-8110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Endodonics
• East Texas Gastroenterology Associates, P a
• East Texas Happy Feet Foot Clinic PC
• East Texas Kidney Specialists,PA
• East Texas Medical Specialists PLLC
• East Texas Oral & Maxillofacial Surgery Associates Inc.
• East Texas Performance Rehabilitation Inc
• East Texas PHC, LLC
• East Texas Plastic Surgery LLP
• East Texas Primary Care Physicians, PLLC

• Neurological Surgery Physician in Longview, TX
• Providers in Longview, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.