MEDICARE: NEUROLOGY HEADACHE & PAIN CONTROL CENTER, 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	J2478	TX

General Provider Information

NPI Number	:	1386731834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY HEADACHE & PAIN CONTROL CENTER, PA

Provider Business Mailing Address
First Line	:	1202 NASA PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3304
Country	:	US
Telephone Number	:	281-338-7246
Fax Number	:	281-335-5706

Provider Business Practice Location Address
First Line	:	1202 NASA PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3304
Country	:	US
Telephone Number	:	281-338-7246
Fax Number	:	281-335-5706

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MOSHE ALLON
Credential	:	M.D
Telephone Number	:	281-728-9360

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	02/28/2012

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