Provider Demographics
NPI:1700919446
Name:GLOBAL NEURO-DIAGNOSTICS, LP
Entity Type:Organization
Organization Name:GLOBAL NEURO-DIAGNOSTICS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:REEGT
Authorized Official - Phone:972-998-1548
Mailing Address - Street 1:1278 JUSTIN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2200
Mailing Address - Country:US
Mailing Address - Phone:972-998-1548
Mailing Address - Fax:877-290-1544
Practice Address - Street 1:1278 JUSTIN RD STE 109
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2200
Practice Address - Country:US
Practice Address - Phone:972-998-1548
Practice Address - Fax:877-290-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2031502Medicaid
TXFTSC03Medicare PIN