MEDICARE: HOUSTON NEUROLOGY & DIAGNOSTICS PLLC

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	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1659160315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON NEUROLOGY & DIAGNOSTICS PLLC

Provider Business Mailing Address
First Line	:	7700 SAN FELIPE ST STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1613
Country	:	US
Telephone Number	:	713-589-6146
Fax Number	:	713-589-5768

Provider Business Practice Location Address
First Line	:	7700 SAN FELIPE ST STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1613
Country	:	US
Telephone Number	:	713-589-6146
Fax Number	:	713-589-5768

Authorized Official
Title or Position	:	PARTNER
Name	:	JEFFREY FLUITT
Credential	:	DO
Telephone Number	:	713-589-6146

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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