| Houston Neurodiagnostic Group, Pa | |
|
6720 Bertner St Suite 0-590 Houston TX 77030-2604 | |
| (713) 798-0980 | |
| Not Available |
| Full Name | Houston Neurodiagnostic Group, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 6720 Bertner St, Houston, Texas |
| Authorized Official Name and Position | Sonja J Beaty (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7137981127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Neurodiagnostic Group, Pa 2 E Greenway Plz Suite 900 Houston TX 77046-0297 Ph: (713) 798-1750 | Houston Neurodiagnostic Group, Pa 6720 Bertner St Suite 0-590 Houston TX 77030-2604 Ph: (713) 798-0980 |
| NPI Number | 1588876551 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588876551 | NPI | - | NPPES |
| 081840301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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