Healthcare Provider Details
I. General information
NPI: 1548906647
Provider Name (Legal Business Name): CURRENT NEUROLOGY SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US
IV. Provider business mailing address
10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US
V. Phone/Fax
- Phone: 281-929-4727
- Fax: 281-929-4728
- Phone: 281-929-4727
- Fax: 281-929-4728
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A2900X |
| Taxonomy | Neurocritical Care Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084E0001X |
| Taxonomy | Epilepsy Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084V0102X |
| Taxonomy | Vascular Neurology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAWAKI
TAYLOR
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 281-929-4727