Organization
NEURO ANALYSIS DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM C ALDRIDGE RRT (PRESIDENT)
(281) 302-5983
Entity
Organization
Contact information
Practice address
20403 UNIVERSITY BLVD, SUITE #300, SUGAR LAND, TX 77478-3558
(281) 302-5983
(832) 365-6065
Mailing address
20403 UNIVERSITY BLVD, SUITE #300, SUGAR LAND, TX 77478-3558
(281) 302-5983
(832) 365-6065
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217530901
—
TX
Enumeration date
05/06/2009
Last updated
06/02/2011
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