Organization Active NPI

Texas Neurocare and Spine Institiute PLLC

  • Neurological Surgery Physician
  • Beaumont, TX
National Provider Identifier
1881027779
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Sujin Yu, M. D.NPI 1710987672
Title
Neurologist
Phone
(409) 351-2667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Neurological Surgery Physician 207T00000X Primary
Neurology Physician 2084N0400X

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 Directory

Locations

6025 Metropolitan Dr
Ste 200
Beaumont, TX 77706
Phone (309) 351-2667

Practitioners & affiliated clinicians

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.

NPI 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": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "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.

Verify at the official NPI Registry.