Active NPI
Houston Neurodiagnostics, LLC
- Physiological Laboratory
- Irving, TX
National Provider Identifier
1558770727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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
- STRATUS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141219000642 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7113240334 | Practice locations: Irving, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Plano, TX
- NPI 1558563031
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.