Organization
CENTRAL TEXAS NEUROMONITORING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SPINKS M.D. (MANAGING MEMBER)
(512) 717-9973
Entity
Organization
Contact information
Practice address
1108 LAVACA ST STE 110, #160, AUSTIN, TX 78701-2110
(512) 717-9973
Mailing address
1108 LAVACA ST STE 110, #160, AUSTIN, TX 78701-2110
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/09/2015
Last updated
11/15/2016
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