Coalgtmoni, LLC

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

Legal business name

COALGTMONI, LLC

Doing business as

Dallas Neurosurgical & Spine

Practice address

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201

Phone

(214) 445-6959

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Richard Jackson, MD

Title

Manager

Phone

(214) 750-3646

Specialties & licenses 1

Addresses

Other names 1

• Dallas Neurosurgical & Spine Doing business as

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1982215158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-445-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALGTMONI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-750-3646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Neurosurgical & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical-Surgical Registered Nurse in Plano, TX
• Providers in Plano, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.