Basic Information
| Provider Information | |||||||||
| NPI: | 1922180462 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEUROSURGICAL GROUP OF TEXAS, LLP | ||||||||
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| OtherOrganizationName: | NEUROSURGICAL GROUP OF TEXAS, LLP | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6560 FANNIN ST | ||||||||
| Address2: | SUITE 1200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137901211 | ||||||||
| FaxNumber: | 7137991749 | ||||||||
| Practice Location | |||||||||
| Address1: | 6560 FANNIN ST | ||||||||
| Address2: | SUITE 1200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137901211 | ||||||||
| FaxNumber: | 7137991749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 03/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | SALINAS | ||||||||
| AuthorizedOfficialFirstName: | ERICA | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7137901211 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CMPE | ||||||||
| NPICertificationDate: | 03/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.