Organization Active NPI

Gulf Caost Neurophysiology Associates, PLLC

  • Clinical Neurophysiology Physician
  • Victoria, TX
National Provider Identifier
1801109772
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
GULF CAOST NEUROPHYSIOLOGY ASSOCIATES, PLLC
Practice address
607 Basswood St
Victoria, TX 77904-9694
Phone
(210) 854-9488
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Keith Norvill, DO
Title
Owner/Director
Phone
(210) 854-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

607 Basswood St
Victoria, TX 77904-9694

Mailing address

607 Basswood St
Victoria, TX 77904-9694
Phone (210) 854-9488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1801109772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BASSWOOD ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779049694",
            "telephone_number": "210-854-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BASSWOOD ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779049694",
            "telephone_number": "210-854-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF CAOST NEUROPHYSIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "NORVILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "210-854-9488",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.