MEDICARE: JACKSON NEUROSCIENCE CENTER

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1043961170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON NEUROSCIENCE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2936
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-2936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6514 HIGHWAY 90A STE 101
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-2120
Country	:	US
Telephone Number	:	281-915-2370
Fax Number	:	281-915-2374

Authorized Official
Title or Position	:	CLINIC MANAGER
Name	:	DANNY VINING
Credential	:	PMHNP
Telephone Number	:	601-214-9385

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	08/25/2022

Similar Medicare Providers

1699785188 — SAYED AAMIR RAZA MD
Practice Location Address:

6514 HIGHWAY 90A STE 101
SUGAR LAND, TX
77498-2120

Practice Phone: 601-214-9385
Practice Fax:

1306175138 — DANNY VINING PMHNP
Practice Location Address:

6514 HIGHWAY 90A STE 101
SUGAR LAND, TX
77498-2120

Practice Phone: 281-790-2370
Practice Fax: 281-790-2374

1417243478 — AALIYA I AMER,MD PA
Practice Location Address:

6514 HIGHWAY 90A STE 100
SUGAR LAND, TX
77498-2120

Practice Phone: 281-313-0100
Practice Fax: 281-699-2157

1417115056 — MRS. ANNE LANE SALICE NP
Practice Location Address:

2120 CROWN LAND LN
CUTCHOGUE, NY
11935-1211

Practice Phone: 631-734-5734
Practice Fax:

1043169873 — SAKINAH SHEIKH
Practice Location Address:

16342 FLINT RUN WAY
SUGAR LAND, TX
77498-7109

Practice Phone: 631-949-0612
Practice Fax:

1003795741 — FOOT SPA LLC
Practice Location Address:

11547 S HIGHWAY 6
SUGAR LAND, TX
77498-4932

Practice Phone: 281-491-6095
Practice Fax:

Directions to “JACKSON NEUROSCIENCE CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.