Organization
TEXAS NEURODIAGNOSTIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL HERMAN CPA (CFO)
(832) 912-8603
Entity
Organization
Contact information
Practice address
1106 S FRIENDSWOOD DR STE A-2, FRIENDSWOOD, TX 77546-5497
(832) 912-8603
(832) 912-8616
Mailing address
1106 S FRIENDSWOOD DR STE A-2, FRIENDSWOOD, TX 77546-5497
(832) 912-8603
(832) 912-8616
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G8Z3
BCBS RECORD ID
TX
01
—
731789000
DOL
TX
01
—
P01425146
RR MEDICARE
TX
Enumeration date
12/05/2008
Last updated
08/30/2022
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