Provider Demographics
NPI:1508243221
Name:NEURO-MONITORING SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:NEURO-MONITORING SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:VICTORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:713-581-6950
Mailing Address - Street 1:9301 SOUTHWEST FWY STE 355
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1428
Mailing Address - Country:US
Mailing Address - Phone:713-581-6950
Mailing Address - Fax:713-581-6951
Practice Address - Street 1:9301 SOUTHWEST FWY STE 355
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1428
Practice Address - Country:US
Practice Address - Phone:713-581-6950
Practice Address - Fax:713-581-6951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty