Healthcare Provider Details

I. General information

NPI: 1952867871
Provider Name (Legal Business Name): WOODLANDS NEURO SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 KUYKENDAHL RD STE 110
THE WOODLANDS TX
77381-2695
US

IV. Provider business mailing address

10857 KUYKENDAHL RD STE 110
THE WOODLANDS TX
77382-2936
US

V. Phone/Fax

Practice location:
  • Phone: 346-220-8066
  • Fax: 832-838-4362
Mailing address:
  • Phone: 346-220-8063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAEED AKRABI
Title or Position: ADMINISTRATOR
Credential:
Phone: 346-220-8066