Provider Demographics
NPI:1417275942
Name:TEXAS INTRAOPERATIVE MONITORING, INC.
Entity Type:Organization
Organization Name:TEXAS INTRAOPERATIVE MONITORING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:SHOUP
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-460-2946
Mailing Address - Street 1:4025 STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7006
Mailing Address - Country:US
Mailing Address - Phone:214-460-2946
Mailing Address - Fax:
Practice Address - Street 1:6160 WINDHAVEN PKWY
Practice Address - Street 2:WINDHAVEN MEDICAL PLAZA, STE. 230
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8099
Practice Address - Country:US
Practice Address - Phone:214-460-2946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZE0600X
TX293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty