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General NPI Number Information
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NPI Number | 1811401623
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Entity Type | Organization
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Legal Business Name | NEUROLOGY ASSOCIATES OF PEARLAND, PLLC
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 2950 CULLEN BLVD STE 108
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City | PEARLAND
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State | TX
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Zip | 77584-3922
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Country | US
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Telephone | 281-835-4159
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Fax | 832-243-5423
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Provider Business Mailing Address
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Address Line | 2950 CULLEN BLVD STE 108
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City | PEARLAND
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State | TX
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Zip | 77584-3922
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Country | US
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Telephone | 281-835-4159
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Fax | 832-243-5423
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Authorized Official
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Title or Position | MEMBER MANAGER/PHYSICIAN
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Name | DR. COURTNEY MARIE PRESTON
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Credential | MD
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Telephone | 281-835-4159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | P7185
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | P7185
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License Number State | TX
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