MEDICARE: NEUROWAVES, P.A.

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	M0648	TX

General Provider Information

NPI Number	:	1144536277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROWAVES, P.A.

Provider Business Mailing Address
First Line	:	2716 MOUNTAIN LAUREL LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1143
Country	:	US
Telephone Number	:	512-682-6287
Fax Number	:	512-682-6299

Provider Business Practice Location Address
First Line	:	2716 MOUNTAIN LAUREL LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1143
Country	:	US
Telephone Number	:	512-682-6287
Fax Number	:	512-682-6299

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SOE M AUNG
Credential	:	M.D.
Telephone Number	:	512-682-6287

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	10/23/2012

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Directions to “NEUROWAVES, P.A. ” Practice Location

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