Organization Active NPI

Houston Neurodiagnostics, LLC

  • Physiological Laboratory
  • Irving, TX
National Provider Identifier
1558770727
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
HOUSTON NEURODIAGNOSTICS, LLC
Practice address
4545 Fuller Dr Ste 200
Irving, TX 75038-6522
Phone
(281) 936-0996
Fax
(866) 279-4704
NPI assigned
Aug 12, 2014
Organization subpart
Yes
Parent organization
STRATUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Charles Alvarez
Title
Ceo
Phone
(469) 995-8416

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4545 Fuller Dr Ste 200
Irving, TX 75038-6522

Mailing address

600 Las Colinas Blvd E Ste 2000
Irving, TX 75039-5607
Phone (469) 995-8416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141219000642 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113240334 Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

507 N Sam Houston Pkwy E
Ste 292
Houston, TX 77060
Phone (281) 936-0996

4545 Fuller Dr
Ste 200
Irving, TX 75038
Phone (281) 936-0996

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1558770727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAS COLINAS BLVD E STE 2000",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395607",
            "telephone_number": "469-995-8416",
            "fax_number": "866-279-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386522",
            "telephone_number": "281-936-0996",
            "fax_number": "866-279-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRATUS",
        "enumeration_date": "2014-08-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-995-8416"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.