MEDICARE: CONCUSSION ASSESSMENT CENTERS TEXAS, LLC

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	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1568399459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCUSSION ASSESSMENT CENTERS TEXAS, LLC

Provider Business Mailing Address
First Line	:	701 N POST OAK RD STE 301
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3818
Country	:	US
Telephone Number	:	281-456-4195
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N POST OAK RD STE 301
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3818
Country	:	US
Telephone Number	:	281-456-4195
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. DON BALLARD
Credential	:
Telephone Number	:	713-857-8292

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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