Provider Demographics
NPI:1699002998
Name:NEUROTECHS PR, LLC
Entity type:Organization
Organization Name:NEUROTECHS PR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOLENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-380-3626
Mailing Address - Street 1:PO BOX 542069
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254-2069
Mailing Address - Country:US
Mailing Address - Phone:832-380-3626
Mailing Address - Fax:866-681-8706
Practice Address - Street 1:5900 MEMORIAL DR STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8030
Practice Address - Country:US
Practice Address - Phone:832-380-3626
Practice Address - Fax:866-681-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty