Provider Demographics
NPI:1578948659
Name:PEAK NEUROMONITORING ASSOCIATES - KENTUCKY
Entity Type:Organization
Organization Name:PEAK NEUROMONITORING ASSOCIATES - KENTUCKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-255-5097
Mailing Address - Street 1:PO BOX 27803
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77227-7803
Mailing Address - Country:US
Mailing Address - Phone:713-255-5097
Mailing Address - Fax:713-626-2337
Practice Address - Street 1:5222 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3311
Practice Address - Country:US
Practice Address - Phone:713-255-5097
Practice Address - Fax:713-626-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty