| Houston Neurodiagnostics, Llc | |
|
4545 Fuller Dr Ste 200 Irving TX 75038-6522 | |
| (281) 936-0996 | |
| (866) 279-4704 |
| Full Name | Houston Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 4545 Fuller Dr Ste 200, Irving, Texas |
| Authorized Official Name and Position | Charles Alvarez (CEO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Neurodiagnostics, Llc 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 995-8416 | Houston Neurodiagnostics, Llc 4545 Fuller Dr Ste 200 Irving TX 75038-6522 Ph: (281) 936-0996 |
| NPI Number | 1558770727 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 7113240334 |
|---|---|
| Medicare Enrollment ID | O20141219000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558770727 | NPI | - | NPPES |
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