Provider Demographics
NPI:1952732646
Name:GREATER HOUSTON NEUROMONITORING, PA
Entity Type:Organization
Organization Name:GREATER HOUSTON NEUROMONITORING, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LILLEGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-364-9509
Mailing Address - Street 1:1800 BERING DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3151
Mailing Address - Country:US
Mailing Address - Phone:713-783-3110
Mailing Address - Fax:713-783-2809
Practice Address - Street 1:9200 NEW TRAILS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-5256
Practice Address - Country:US
Practice Address - Phone:281-364-9509
Practice Address - Fax:281-364-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1040174400000X
TXE0920174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty