Organization Active NPI

Texas Neurodiagnostic Associates, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Friendswood, TX
National Provider Identifier
1538304449
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
TEXAS NEURODIAGNOSTIC ASSOCIATES, INC.
Practice address
1106 S Friendswood Dr Ste a-2
Friendswood, TX 77546-5497
Phone
(832) 912-8603
Fax
(832) 912-8616
NPI assigned
Dec 5, 2008
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Michael Paul Herman, CPA
Title
Cfo
Phone
(832) 912-8603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

1106 S Friendswood Dr Ste a-2
Friendswood, TX 77546-5497

Mailing address

1106 S Friendswood Dr Ste a-2
Friendswood, TX 77546-5497
Phone (832) 912-8603

Other identifiers 3

IdentifierTypeStateIssuer
731789000OtherTXDOL
P01425146OtherTXRR MEDICARE
00G8Z3OtherTXBCBS RECORD ID

National Provider Directory

National Provider Directory

Locations

1106 S Friendswood Dr
Ste A2
Friendswood, TX 77546
Phone (832) 912-8603

Practitioners & affiliated clinicians

Practitioners 1

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": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1538304449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S FRIENDSWOOD DR STE A-2",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465497",
            "telephone_number": "832-912-8603",
            "fax_number": "832-912-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S FRIENDSWOOD DR STE A-2",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465497",
            "telephone_number": "832-912-8603",
            "fax_number": "832-912-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS NEURODIAGNOSTIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-912-8603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "731789000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01425146",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RECORD ID",
            "identifier": "00G8Z3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.