MEDICARE: UNITED NEUROLOGY 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

General Provider Information

NPI Number	:	1235937426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED NEUROLOGY PA

Provider Business Mailing Address
First Line	:	2321 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4701
Country	:	US
Telephone Number	:	713-533-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4701
Country	:	US
Telephone Number	:	713-533-1250
Fax Number	:	713-533-1480

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROBERT LEWIS
Credential	:	PA-C
Telephone Number	:	713-533-1250

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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