Provider Demographics
NPI:1265607832
Name:SOUTH TEXAS BRAIN & SPINE INSTITUTE, P.A.
Entity type:Organization
Organization Name:SOUTH TEXAS BRAIN & SPINE INSTITUTE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-883-4323
Mailing Address - Street 1:PO BOX 34747
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78265-4747
Mailing Address - Country:US
Mailing Address - Phone:361-883-4323
Mailing Address - Fax:361-883-4324
Practice Address - Street 1:1227 3RD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404
Practice Address - Country:US
Practice Address - Phone:361-883-4323
Practice Address - Fax:361-883-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L0938Medicare PIN
TX6168370001Medicare NSC
TX00Z574Medicare PIN
TX8F8731Medicare PIN
TX8F8732Medicare PIN