Healthcare Provider Details

I. General information

NPI: 1023735461
Provider Name (Legal Business Name): HEAD AND NECK INSTITUTE OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 WESTPARK DR
HOUSTON TX
77005-4262
US

IV. Provider business mailing address

3375 WESTPARK DR
HOUSTON TX
77005-4262
US

V. Phone/Fax

Practice location:
  • Phone: 281-888-2727
  • Fax: 281-664-3792
Mailing address:
  • Phone: 281-888-2727
  • Fax: 281-664-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAHUL DHAWAN
Title or Position: OWNER
Credential:
Phone: 832-882-6742