Provider Demographics
NPI:1144766791
Name:RED ROCK NEURODIAGNOSTIC SERVICES, PLLC
Entity Type:Organization
Organization Name:RED ROCK NEURODIAGNOSTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:832-374-2808
Mailing Address - Street 1:9119 HIGHWAY 6
Mailing Address - Street 2:SUITE 230-264
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4876
Mailing Address - Country:US
Mailing Address - Phone:832-374-2808
Mailing Address - Fax:
Practice Address - Street 1:9119 HIGHWAY 6
Practice Address - Street 2:SUITE 230-264
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4876
Practice Address - Country:US
Practice Address - Phone:832-374-2808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty