=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083146716
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIND HEADACHE AND NEUROLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2017
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18400 KATY FWY STE 420
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77094-1292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-402-9522
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18400 KATY FWY STE 420
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77094-1292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-402-9522
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JONTEL D PIERCE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 281-402-9522
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------