Integris Neuro LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

INTEGRIS NEURO LLC

Practice address

2016 W Gore Blvd Ste 1
Lawton, OK 73501-3628

Phone

(972) 998-1548

Fax

(877) 492-1768

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Steven EstesNPI 1508885484

Title

President/Ceo

Phone

(877) 944-2111

Specialties & licenses 1

Addresses

Locations

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.

• Steven Estes, REEGT, RNCST

  • EEG Specialist/Technologist
  • Highland Village, TX
  • NPI 1508885484
  Authorized official Same address or phone

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1851178800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 200H",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777149",
            "telephone_number": "972-998-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W GORE BLVD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013628",
            "telephone_number": "972-998-1548",
            "fax_number": "877-492-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "877-944-2111"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Lawton, OK
• Providers in Lawton, OK by specialty
• Physiological Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.