Provider Demographics
NPI:1477052645
Name:ORTHOSPINE MONITORING LLC
Entity Type:Organization
Organization Name:ORTHOSPINE MONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZESHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-598-5697
Mailing Address - Street 1:PO BOX 734592
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4592
Mailing Address - Country:US
Mailing Address - Phone:210-598-5697
Mailing Address - Fax:
Practice Address - Street 1:601 NORTH SHORE DR
Practice Address - Street 2:SUITE 201 #135
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:210-545-3713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty