Organization Active NPI

Texas Electrodiagnostics PLLC

  • Neurology Physician
  • Conroe, TX
National Provider Identifier
1336451574
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
TEXAS ELECTRODIAGNOSTICS PLLC
Practice address
1020 Riverwood CT Ste 310
Conroe, TX 77304-2974
Phone
(832) 510-6553
NPI assigned
Jul 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Benny WangNPI 1447348164
Title
President
Phone
(832) 510-6553

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1020 Riverwood CT Ste 310
Conroe, TX 77304-2974

Mailing address

1020 Riverwood CT Ste 310
Conroe, TX 77304-2974
Phone (832) 510-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000888 TX Part B Supplier - Clinic/Group Practice 3476748179 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

1020 Riverwood Ct
Ste 310
Conroe, TX 77304
Phone (832) 510-6553

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGADA

Practitioners & affiliated clinicians

Practitioners 1

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": "1278115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1336451574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-510-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-510-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ELECTRODIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-03",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-510-6553"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.