Organization Active NPI

Neurospectrum, LTD.

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1831207356
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEUROSPECTRUM, LTD.
Practice address
465 West Parker Rd.
Suite a 100
Houston, TX 77091
Phone
(214) 544-9940
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Sean Brian Gipson, RPSGT
Title
Ceo
Phone
(972) 672-2546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

465 West Parker Rd.
Suite a 100
Houston, TX 77091

Mailing address

3600 Leeds CT
Corinth, TX 76210-4158
Phone (214) 544-9940

Other names 1

  • e-Neuro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neurospectrum LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

465 W Parker Rd
#A
Houston, TX 77091
Phone (214) 544-9940

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1831207356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LEEDS CT",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104158",
            "telephone_number": "214-544-9940",
            "fax_number": "972-838-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WEST PARKER RD.",
            "address_2": "SUITE A 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77091",
            "telephone_number": "214-544-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPECTRUM, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-672-2546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "e-Neuro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.