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NPI Code Detail

MEDICARE: SOUTHEAST TEXAS NEUROMONITORING, PLLC

MEDICARE: SOUTHEAST TEXAS NEUROMONITORING, PLLC
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
1204R00000XElectrodiagnostic Medicine Physician
22084N0400XNeurology Physician
3246ZE0600XElectroneurodiagnostic Specialist/Technologist
42084N0600XClinical Neurophysiology Physician

General Provider Information

NPI Number : 1255798419
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEAST TEXAS NEUROMONITORING, PLLC
Provider Business Mailing Address
First Line : 6711 STELLA LINK RD # 394
Second Line :
City : WEST UNIVERSITY PLACE
State : TX
Zip : 77005-4342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6711 STELLA LINK RD # 394
Second Line :
City : WEST UNIVERSITY PLACE
State : TX
Zip : 77005-4342
Country : US
Telephone Number : 713-955-8262
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DEVINDER S. BHATIA
Credential : M.D.
Telephone Number : 713-955-8262
Provider Enumeration Date : 01/19/2016
Last Update Date : 10/28/2016

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Directions to “SOUTHEAST TEXAS NEUROMONITORING, PLLC ” Practice Location

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