Organization Active NPI

Elevated Neuro LLC

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
National Provider Identifier
1952874034
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Apr 23, 2019

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)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.