Innate Neuromonitoring PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

INNATE NEUROMONITORING PLLC

Practice address

7504 San Jacinto PL
Plano, TX 75024-3233

Phone

(469) 653-3886

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Vu, CNIMNPI 1598315194

Title

Lead Technologist

Phone

(214) 505-9345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Vu, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Waxahachie, TX
  • NPI 1598315194
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1780283549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "469-653-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "469-653-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE NEUROMONITORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LEAD TECHNOLOGIST",
        "authorized_official_telephone_number": "214-505-9345",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electrodiagnostic Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.