Melanie Oslund-Goldberg, EPT

Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Waller, TX

NPI 1194279943 · NPPES record last updated Aug 10, 2016

Key facts

NPI
1194279943
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Practice address
33518 Haley Rd
#1
Waller, TX 77484-5110
Phone
(936) 463-4991
Fax
(281) 622-4381
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Neurophysiological Assessment Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Yes

Addresses

Primary practice location

33518 Haley Rd
#1
Waller, TX 77484-5110

Mailing address

PO Box 1577
#1
Waller, TX 77484-1577
Phone (936) 463-4991

Other providers in Waller, TX

All providers in Waller, TX · Electroneurodiagnostic Specialist/Technologist in Texas

Sources for this page

Verify at the official NPI Registry.