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NPI Code Detail

MEDICARE: HOUSTON NEUROLOGICAL INSTITUTE LLP

MEDICARE: HOUSTON NEUROLOGICAL INSTITUTE LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0600XClinical Neurophysiology Physician
22084S0012XSleep Medicine (Psychiatry & Neurology) Physician
32084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053378497
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON NEUROLOGICAL INSTITUTE LLP
Provider Business Mailing Address
First Line : 4141 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2113
Country : US
Telephone Number : 713-941-3100
Fax Number : 713-947-6103
Provider Business Practice Location Address
First Line : 4141 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2113
Country : US
Telephone Number : 713-941-3100
Fax Number : 713-947-6103
Authorized Official
Title or Position : PARTNER
Name : KIMBERLY E MONDAY
Credential : MD
Telephone Number : 713-947-3100
Provider Enumeration Date : 04/28/2006
Last Update Date : 02/16/2015

Similar Medicare Providers

1275826075 — DR. KAMAYANI KHARE M.D.
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax:
1295782738 — DR. ROBERT W. FAYLE M.D.
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax: 713-947-6103
1700992641 — DR. PRITI PALVADI M.D.
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax: 713-947-6103
1154403426 — DR. DAREL A BUTLER MD
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax: 713-947-6103
1053447250 — DR. KENNETH RAY VANOWEN M.D.
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax:
1528382157 — MRS. COLLEEN MCCABE RN
Practice Location Address:
4141 VISTA RD
PASADENA, TX
77504-2113
Practice Phone: 713-947-3100
Practice Fax: 713-947-6103

Directions to “HOUSTON NEUROLOGICAL INSTITUTE LLP ” Practice Location

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