Organization
HOUSTON NEURODIAGNOSTIC GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA J BEATY (EXECUTIVE DIRECTOR)
(713) 798-1127
Entity
Organization
Contact information
Practice address
6720 BERTNER ST, SUITE 0-590, HOUSTON, TX 77030-2604
(713) 798-0980
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081840301
—
TX
Enumeration date
05/04/2007
Last updated
07/24/2008
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