Active NPI
Elevated Neuro LLC
- Multi-Specialty Clinic/Center
- The Woodlands, TX
National Provider Identifier
1952874034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ELEVATED NEURO LLC
- Practice address
- 719 Sawdust Rd Ste 213
The Woodlands, TX 77380 - Phone
- (855) 326-3876
- Fax
- (855) 326-3876
- NPI assigned
- Jan 10, 2019
- 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
- Mr. Phil Sanchez
- Title
- Director
- Phone
- (855) 326-3876
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Other Technician | 247200000X | |||
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
719 Sawdust Rd Ste 213
The Woodlands, TX 77380
Mailing address
719 Sawdust Rd Ste 213
The Woodlands, TX 77380-2947
Phone (855) 326-3876
Other practice location 1
16850 Saturn Ln Ste 105
Houston, TX 77058-2143
Phone (832) 667-8132 ext. 1038
Other names 1
- ELEVATED NEURO LLC
National Provider Directory
National Provider DirectoryLocations
16850 Saturn Ln
Ste 105
Houston, TX 77058
Phone 8326678132 ext. 1038
719 Sawdust Rd
Ste 213
The Woodlands, TX 77380
Phone (855) 326-3876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555977600000",
"number": "1952874034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 SAWDUST RD STE 213",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802947",
"telephone_number": "855-326-3876",
"fax_number": "855-326-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SAWDUST RD STE 213",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "855-326-3876",
"fax_number": "855-326-3876"
}
],
"practiceLocations": [
{
"address_1": "16850 Saturn Ln Ste 105",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770582143",
"country_code": "US",
"telephone_number": "832-667-8132 x1038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELEVATED NEURO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2019-04-23",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "855-326-3876",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELEVATED NEURO LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ELEVATED NEURO LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.