Organization Name: | NEURODIAGNOSTICS OF TEXAS |
NPI Number: | 1063748952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARL ROBINSON (OWNER) |
Mailing Address: | 712 Spoonbill Ln La Marque |
State: | TX US |
Postal Code: | 775686662 |
Phone Number: | 7138996387 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 10568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |