Healthcare Provider Details

I. General information

NPI: 1871077446
Provider Name (Legal Business Name): NOVACURE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 SAN FELIPE ST STE 320-18
HOUSTON TX
77056-3633
US

IV. Provider business mailing address

5161 SAN FELIPE ST STE 320-18
HOUSTON TX
77056-3633
US

V. Phone/Fax

Practice location:
  • Phone: 713-497-1171
  • Fax:
Mailing address:
  • Phone: 713-497-1171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: RANIA EDLEBI
Title or Position: MEMBER
Credential:
Phone: 713-497-1171