Organization Active NPI

Diagnostic Neurology Clinic of Houston PA

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1497788830
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G7874 Issued in TX
Legal business name
DIAGNOSTIC NEUROLOGY CLINIC OF HOUSTON PA
Practice address
902 Frostwood Dr Ste 143
Houston, TX 77024-2433
Phone
(713) 467-8491
Fax
(713) 461-6119
NPI assigned
Jul 9, 2006
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Mr. Marcus Yi
Title
Practice Manager
Phone
(713) 467-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G7874 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 143
Houston, TX 77024-2433

Mailing address

925 Gessner
Suite 480
Houston, TX 77024
Phone (713) 467-8491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070414000035 TX Part B Supplier - Clinic/Group Practice 2668577925 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

902 Frostwood Dr
Ste 143
Houston, TX 77024
Phone (713) 467-4382

909 Frostwood Dr
#304
Houston, TX 77024
Phone (713) 467-8491

925 Gessner Rd
Ste 480
Houston, TX 77024
Phone (713) 338-7226

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1497788830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 GESSNER",
            "address_2": "SUITE 480",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-467-8491",
            "fax_number": "713-461-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 143",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242433",
            "telephone_number": "713-467-8491",
            "fax_number": "713-461-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC NEUROLOGY CLINIC OF HOUSTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-467-8491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G7874",
            "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 Jul 1, 2024; 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.