Healthcare Provider Details

I. General information

NPI: 1285399774
Provider Name (Legal Business Name): WOODLANDS NEUROMUSCULAR PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 10/09/2022
Certification Date: 10/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 PINECROFT DR SUITE 200
SHENANDOAH TX
77380-2807
US

IV. Provider business mailing address

9191 PINECROFT DR. SUITE 200
SHENANDOAH TX
77380-2807
US

V. Phone/Fax

Practice location:
  • Phone: 281-404-3665
  • Fax: 346-299-7383
Mailing address:
  • Phone: 281-404-3665
  • Fax: 346-299-7383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. GUY T. BURROWS
Title or Position: OWNER/OFFICER
Credential: M.D.
Phone: 281-404-3665