Healthcare Provider Details

I. General information

NPI: 1548614761
Provider Name (Legal Business Name): DIAGNOSTIC PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 VISION PARK BLVD SUITE 102
SHENANDOAH TX
77384-3014
US

IV. Provider business mailing address

PO BOX 130243
SPRING TX
77393-0243
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8838
  • Fax: 281-783-9721
Mailing address:
  • Phone: 832-813-8280
  • Fax: 800-500-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: STEVE ROPHAIL
Title or Position: MANAGING PARTNER
Credential:
Phone: 713-679-4487