NPIMap

Organization Active NPI

Neurodiagnostics Tex, LLC

  • Electrodiagnostic Medicine Physician
  • Texarkana, AR
National Provider Identifier
1992283485
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
NEURODIAGNOSTICS TEX, LLC
Practice address
4803 Jefferson Avenue
Suite 32
Texarkana, AR 71854-1143
Phone
(972) 724-5446
Fax
(972) 724-5447
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Joey Miller
Title
Administrator
Phone
(903) 534-8812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

4803 Jefferson Avenue
Suite 32
Texarkana, AR 71854-1143

Mailing address

4803 Jefferson Avenue
Suite 32
Texarkana, AR 71854-1143
Phone (972) 724-5446

National Provider Directory

National Provider Directory
Tax ID family
Neurodiagnostic Tex LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1992283485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 JEFFERSON AVENUE",
            "address_2": "SUITE 32",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541143",
            "telephone_number": "972-724-5446",
            "fax_number": "972-724-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 JEFFERSON AVENUE",
            "address_2": "SUITE 32",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541143",
            "telephone_number": "972-724-5446",
            "fax_number": "972-724-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTICS TEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-534-8812"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.