Healthcare Provider Details
I. General information
NPI: 1053249029
Provider Name (Legal Business Name): GUARDIAN NEUROMONITORING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
63 HAVEN SHORE LN
SUGAR LAND TX
77479-3748
US
IV. Provider business mailing address
5680 HIGHWAY 6
MISSOURI CITY TX
77459-4188
US
V. Phone/Fax
- Phone: 832-507-1690
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZE0600X |
| Taxonomy | Electroneurodiagnostic Specialist/Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIKA
BROWN
Title or Position: MANAGER
Credential:
Phone: 832-507-1690