NEUROLOGIC DIAGNOSTIC LABS (NPI# 1861758450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861758450 |
| Entity Type | Organization |
| Organization Name | NEUROLOGIC DIAGNOSTIC LABS |
| Practice Address |
13652 Breton Ridge Dr Ste B Suite B Houston TX 77070-6088 |
| Mailing Address |
1910 University Dr Richardson TX 75081-3921 |
| Practice Telephone | 9728590378 |
| Mailing Telephone | 9728590378 |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2012-04-08 |
| Authorized Official Name | MR. EDWARD O CASTILLO (PRESIDENT) |
| Authorized Official Telephone | 9728590378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356655609 | Neurologic Diagnostic Labs | Specialist/Technologist, Other | 1910 University Dr, Richardson, TX 75081-3921 | 2010-07-28 |
| Street Address |
13652 BRETON RIDGE DR STE B SUITE B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-6088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1417434523 | Spectrum Neuro Lp | Specialist/Technologist, Other | 3333 Lake St Unit 7h, Houston, TX 77098-2170 | 2018-07-21 |
| 1427577642 | Michelle Josette Edwards | Specialist/Technologist, Other | 10330 Lake Rd Ste E, Houston, TX 77070-1696 | 2017-09-19 |
| 1710406152 | Peak Iom, LLC | Specialist/Technologist, Other | 5318 Weslayan St Ste 195, Houston, TX 77005-1048 | 2017-09-18 |
| 1851816425 | Nhi Myarcherie Huynh | Specialist/Technologist, Other | 9919 Blooming Ivy Ln, Houston, TX 77089-2476 | 2017-08-04 |
| 1528598521 | Mbb Neuromonitoring LLC | Specialist/Technologist, Other | 4807 Plum Forest Road, Houston, TX 77084 | 2017-06-13 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1982153177 | Ashley Haddock | Specialist/Technologist, Other | 9777 W Gulf Bank Rd Ste 5, Houston, TX 77040-3137 | 2016-09-28 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1568817096 | Amy Lea Carlson | Specialist/Technologist, Other | 12820 Greenwood Forest Dr, Apt 519, Houston, TX 77066-1636 | 2016-05-03 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.