Provider Demographics
NPI:1962527317
Name:NEURAXIS MONITORING GROUP, LP
Entity type:Organization
Organization Name:NEURAXIS MONITORING GROUP, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-809-6067
Mailing Address - Street 1:DEPT AT 952918
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31192-2918
Mailing Address - Country:US
Mailing Address - Phone:866-845-4595
Mailing Address - Fax:866-845-8810
Practice Address - Street 1:21 SPURS LANE
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1670
Practice Address - Country:US
Practice Address - Phone:866-845-4595
Practice Address - Fax:866-845-8810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTRA - DP MONITORING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-21
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX884MLOtherBCBS