Enzo Neurotech, PLLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

ENZO NEUROTECH, PLLC

Practice address

9521 B Riverside Parkway #338
Tulsa, OK 74137-7422

Phone

(918) 895-7680

Fax

(918) 236-4646

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Cristi Vinson

Title

Billing

Phone

(918) 895-7680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1992188700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700930 #468",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700930",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 B RIVERSIDE PARKWAY #338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377422",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENZO NEUROTECH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.