Provider Demographics
NPI:1851625313
Name:EDINBURG NEURODIAGNOSTIC AND SLEEP CENTER,LLC
Entity Type:Organization
Organization Name:EDINBURG NEURODIAGNOSTIC AND SLEEP CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-683-9300
Mailing Address - Street 1:3125 CENTER POINT DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8433
Mailing Address - Country:US
Mailing Address - Phone:956-683-9300
Mailing Address - Fax:956-683-9323
Practice Address - Street 1:5019 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8080
Practice Address - Country:US
Practice Address - Phone:956-683-9300
Practice Address - Fax:956-683-9323
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL VALLEY PHYSICAL MEDICINE AND REHABILITATION,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center