Organization Active NPI

Memorial Electrodiagnostics, LLC

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1013196369
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
E2148 Issued in TX
Legal business name
MEMORIAL ELECTRODIAGNOSTICS, LLC
Practice address
12335 Kingsride LN # 220
Houston, TX 77024-4116
Phone
(713) 467-4191
Fax
(713) 467-8585
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dennis G Brown, M.D.NPI 1780742890
Title
Owner
Phone
(713) 467-4191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0008X E2148 TX Primary

Addresses

Primary practice location

12335 Kingsride LN # 220
Houston, TX 77024-4116

Mailing address

12335 Kingsride LN # 220
Houston, TX 77024-4116
Phone (713) 467-4191

National Provider Directory

National Provider Directory

Locations

902 Frostwood Dr
Ste 283
Houston, TX 77024
Phone (281) 793-9043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1013196369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN # 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "713-467-4191",
            "fax_number": "713-467-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN # 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "713-467-4191",
            "fax_number": "713-467-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ELECTRODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-467-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "E2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.