Organization Active NPI

Prestige Neurodiagnostics LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1386180586
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRESTIGE NEURODIAGNOSTICS LLC
Practice address
11126 Sherwood Garden Dr
Houston, TX 77043-4695
Phone
(281) 714-8266
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mohammad Al Baeer
Title
General Manager
Phone
(281) 714-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11126 Sherwood Garden Dr
Houston, TX 77043-4695

Mailing address

11126 Sherwood Garden Dr
Houston, TX 77043-4695
Phone (281) 714-8266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1386180586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 SHERWOOD GARDEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434695",
            "telephone_number": "281-714-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 SHERWOOD GARDEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434695",
            "telephone_number": "281-714-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "AL BAEER",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "281-714-8266"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Jan 11, 2017; 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.