MEDICARE: REGIONAL NEURODIAGNOSTIC CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G4190	TX

General Provider Information

NPI Number	:	1518174275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL NEURODIAGNOSTIC CENTER, P.A.

Provider Business Mailing Address
First Line	:	2424 W HOLCOMBE BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1933
Country	:	US
Telephone Number	:	281-540-0053
Fax Number	:	281-540-0057

Provider Business Practice Location Address
First Line	:	2424 W HOLCOMBE BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1933
Country	:	US
Telephone Number	:	281-540-0053
Fax Number	:	281-540-0057

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VASISHTA M PATEL
Credential	:	M.D.
Telephone Number	:	281-540-0053

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	04/11/2025

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