Active NPI
Texas Neurocare and Spine Institiute PLLC
- Neurological Surgery Physician
- Beaumont, TX
National Provider Identifier
1881027779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- TEXAS NEUROCARE AND SPINE INSTITIUTE PLLC
- Practice address
- 6025 Metropolitan Dr
Suite 200
Beaumont, TX 77706-2407 - Phone
- (309) 351-2667
- Fax
- (409) 892-8237
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sujin Yu, M. D.
- Title
- Neurologist
- Phone
- (409) 351-2667
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Neurology Physician | 2084N0400X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
6025 Metropolitan Dr
Suite 200
Beaumont, TX 77706-2407
Mailing address
6025 Metropolitan Dr
Suite 200
Beaumont, TX 77706-2407
Phone (309) 351-2667
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1881027779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 METROPOLITAN DR",
"address_2": "SUITE 200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777062407",
"telephone_number": "309-351-2667",
"fax_number": "409-892-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 METROPOLITAN DR",
"address_2": "SUITE 200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777062407",
"telephone_number": "309-351-2667",
"fax_number": "409-892-8237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS NEUROCARE AND SPINE INSTITIUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "SUJIN",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "409-351-2667",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.