Organization
NEURAXIS MONITORING GROUP, LP
Active
Parent organization
INTRA - DP MONITORING SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTRA - DP MONITORING SERVICES, LLC
Authorized official
ANDREW C. HILL (MANAGER)
(985) 809-6067
Entity
Organization
Contact information
Practice address
21 SPURS LANE, STE 100, SAN ANTONIO, TX 78240-1670
(866) 845-4595
(866) 845-8810
Mailing address
DEPT AT 952918, ATLANTA, GA 31192-2918
(866) 845-4595
(866) 845-8810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
884ML
BCBS
TX
Enumeration date
03/21/2007
Last updated
08/15/2012
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