Healthcare Provider Details

I. General information

NPI: 1174702104
Provider Name (Legal Business Name): DRM DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12910 HUNTERS FIELD LN
HOUSTON TX
77044-5124
US

IV. Provider business mailing address

12910 HUNTERS FIELD LN
HOUSTON TX
77044-5124
US

V. Phone/Fax

Practice location:
  • Phone: 832-524-9520
  • Fax: 281-454-7998
Mailing address:
  • Phone: 832-524-9520
  • Fax: 281-454-7998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT H. MOODY
Title or Position: DIRECTOR
Credential: REG. NCV TECHNOLOGIS
Phone: 832-524-9520