Healthcare Provider Details
I. General information
NPI: 1437728102
Provider Name (Legal Business Name): NAREGNIA PIERRE-LOUIS NEUROVASCULAR CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2021
Last Update Date: 06/17/2021
Certification Date: 06/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12121 RICHMOND AVE STE 216
HOUSTON TX
77082-2422
US
IV. Provider business mailing address
12121 RICHMOND AVE STE 216
HOUSTON TX
77082-2422
US
V. Phone/Fax
- Phone: 862-202-2780
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084V0102X |
| Taxonomy | Vascular Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NAREGNIA
PIERRE-LOUIS
Title or Position: PRESIDENT
Credential: MD
Phone: 862-202-2780