EAST TEXAS SPINAL MONITORING, PLLC


Address: 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339
Phone: 2105984225

EAST TEXAS SPINAL MONITORING, PLLC (NPI# 1538536446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538536446
Entity Type Organization
Organization Name EAST TEXAS SPINAL MONITORING, PLLC
Practice Address 1141 N Loop 1604 E # 105-612
San Antonio
TX 78232-1339
Practice Telephone 2105984225
Practice Fax Number 2105987268
Mailing Telephone 2105984225
Mailing Fax Number 2105987268
Enumeration Date 2015-08-26
Last Update Date 2015-08-26
Authorized Official Name BRENDA THIELE (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 2105984225
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204R00000X Electrodiagnostic Medicine Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 1141 N LOOP 1604 E # 105-612
City SAN ANTONIO
State TX
Zip Code 78232-1339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316198450 Qiusheng Tong Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2008-10-07
1760041099 Sarah Panone Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2019-06-11
1629637954 John Bridenstine Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2019-06-11
1255890489 Renee R Walker Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2019-03-18
1952860199 Michael James Quijano Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2019-03-18
1629537865 Luma Abuagela Rashed Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2019-03-18
1619450103 Emily Gilrein Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2018-09-11
1295224467 Ester Min Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2018-05-03
1497257406 Lauro Ruben Moncada Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2018-03-06
1225530215 Nicole Kathryn Stewart Specialist/Technologist, Other 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 2018-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371334 Rachelle Renee Morales Counselor 620 W Afton Oaks Blvd, San Antonio, TX 78232 2019-11-25
1508328360 Ruene Anne Villalobos Licensed Vocational Nurse North Loop 1604 E #350, San Antonio, TX 78232 2019-04-02
1063908671 Steven C. Albright Dds, Pa Oral & Maxillofacial Surgery 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 2018-07-06
1437666583 Jennifer Harris Physician Assistant 1380 Pantheon Way Ste 310, San Antonio, TX 78232 2018-01-10
1003334616 Third Space Counseling and Consultation, Pllc Counselor 1380 Pantheon Way Suite 245, San Antonio, TX 78232 2017-09-03
1336678135 Gregory Arellanes Specialist/Technologist, Other 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 2017-06-06
1528437811 Jonathan Hodge Specialist/Technologist, Other 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 2015-09-17
1356726376 Shawn Grubbs Spec/Tech, Cardiovascular 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 2015-07-21
1336522051 Comprehensive Neuromonitoring Pllc Psychiatry & Neurology 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 2015-06-30
1841690526 Janet Porter Registered Nurse 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 2014-08-29
Find all providers in zip 78232

Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811516503 Onetwo Stars Psychiatry & Neurology 118 Broadway St Ste 221, San Antonio, TX 78205-2088 2020-04-13
1336522051 Comprehensive Neuromonitoring Pllc Psychiatry & Neurology 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 2015-06-30
1225421829 Alamo City Neurodiagnostics, Pllc Psychiatry & Neurology 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 2015-03-06
1386920106 Omega Southwest, Pllc Psychiatry & Neurology 313 Limestone Creek Rd, San Antonio, TX 78232-3503 2011-10-25
1447559182 Select Neuromonitoring Consultants, Pllc Psychiatry & Neurology 10004 Wurzbach Road, #393, San Antonio, TX 78230 2011-03-21
1487953113 Neuromonitoring of Texas, Pllc Psychiatry & Neurology 20770 Highway 281 North, Suite 108, #267, San Antonio, TX 78258 2011-03-21
1164744165 River Valley Neurophysiology, Pllc Psychiatry & Neurology 4007 Mccullough Avenue, #238, San Antonio, TX 78212 2010-02-18
1821328808 Insite Surgical Monitoring Services LLC, In-site Psychiatry & Neurology 4722 Bending Grv, San Antonio, TX 78259-2289 2010-01-13
1154651123 Jjdnm, Pllc Psychiatry & Neurology 8403 State Highway 151, Ste 104 #358, San Antonio, TX 78245 2010-01-13
1386977064 Grmnm, Pllc Psychiatry & Neurology 10730 Potranco Rd, Ste 122 #195, San Antonio, TX 78251-3330 2009-09-11
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Competitor

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City SAN ANTONIO
Zip Code 78232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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