Provider Demographics
NPI:1629273370
Name:GLORIA B. NEMEROFF PC DBA DIAGNOSTIC SERVICES OF HOUSTON
Entity Type:Organization
Organization Name:GLORIA B. NEMEROFF PC DBA DIAGNOSTIC SERVICES OF HOUSTON
Other - Org Name:DIAGNOSTIC SERVICES OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:NEMEROFF
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:713-512-1267
Mailing Address - Street 1:5420 DASHWOOD DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5357
Mailing Address - Country:US
Mailing Address - Phone:713-512-1267
Mailing Address - Fax:713-512-1199
Practice Address - Street 1:5420 DASHWOOD DR
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5357
Practice Address - Country:US
Practice Address - Phone:713-512-1267
Practice Address - Fax:713-512-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50351332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530948OtherBCBS FOR HEARING AIDS