MEDICARE: UNITED NEUROLOGY PA

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	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093750887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED NEUROLOGY PA

Provider Business Mailing Address
First Line	:	PO BOX 540243
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254
Country	:	US
Telephone Number	:	713-533-1250
Fax Number	:	713-533-1480

Provider Business Practice Location Address
First Line	:	2321 SOUTHWEST FREEWAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4701
Country	:	US
Telephone Number	:	713-533-1250
Fax Number	:	713-533-1480

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BETH E DEL VALLE
Credential	:
Telephone Number	:	713-533-1250

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	01/02/2025

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Directions to “UNITED NEUROLOGY PA ” Practice Location

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