MEDICARE: WOODLANDS NEUROLOGY AND SLEEP PA

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
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0063JV	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1063530038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS NEUROLOGY AND SLEEP PA

Provider Business Mailing Address
First Line	:	9303 PINECROFT DR
Second Line	:	STE 270
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3181
Country	:	US
Telephone Number	:	281-465-4050
Fax Number	:	281-465-4105

Provider Business Practice Location Address
First Line	:	9303 PINECROFT DR
Second Line	:	STE 270
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3181
Country	:	US
Telephone Number	:	281-465-4050
Fax Number	:	281-465-4105

Authorized Official
Title or Position	:	NEUROLOGIST
Name	:	DR. KEVIN C GAFFNEY
Credential	:	MD
Telephone Number	:	281-465-4050

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	03/25/2015

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9303 PINECROFT DR , SUITE 380
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1619919958 — THE WOODLANDS DERMATOLOGY ASSOCIATES PA
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9303 PINECROFT DR STE 201
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77380-3181

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1750488672 — PETER B MORGAN M.D.
Practice Location Address:

9303 PINECROFT DR , SUITE 350
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Practice Location Address:

9303 PINECROFT DR , SUITE 150
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1740484872 — JEFFREY RONALD CAIN PT, DPT
Practice Location Address:

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Practice Fax:

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