Provider Demographics
NPI:1124189881
Name:NEURODIAGNOSTIC ASSOCIATES INC
Entity Type:Organization
Organization Name:NEURODIAGNOSTIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-723-1881
Mailing Address - Street 1:PO BOX 1770
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-1770
Mailing Address - Country:US
Mailing Address - Phone:972-723-1881
Mailing Address - Fax:972-723-1877
Practice Address - Street 1:545 BURK HAWKINS
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-1770
Practice Address - Country:US
Practice Address - Phone:972-723-1881
Practice Address - Fax:972-723-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMD02622TX2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty