Provider Demographics
NPI:1164625091
Name:NDX ASSOCIATES, INC
Entity Type:Organization
Organization Name:NDX ASSOCIATES, INC
Other - Org Name:NEURODIAGNOSTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-215-4649
Mailing Address - Street 1:301 MAIN PLZ
Mailing Address - Street 2:# 207
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5136
Mailing Address - Country:US
Mailing Address - Phone:512-215-4649
Mailing Address - Fax:
Practice Address - Street 1:301 MAIN PLZ
Practice Address - Street 2:# 207
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5136
Practice Address - Country:US
Practice Address - Phone:512-215-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty