Provider Demographics
NPI:1962720102
Name:GLOBAL NEURO-DIAGNOSTICS, LP
Entity type:Organization
Organization Name:GLOBAL NEURO-DIAGNOSTICS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:REEGT
Authorized Official - Phone:972-998-1548
Mailing Address - Street 1:1278 JUSTIN RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2200
Mailing Address - Country:US
Mailing Address - Phone:866-848-2522
Mailing Address - Fax:877-290-1544
Practice Address - Street 1:2626 DENVER ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-5334
Practice Address - Country:US
Practice Address - Phone:918-682-3380
Practice Address - Fax:877-290-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory