MEDICARE: NEUROLOGY AND EPILEPSY CONSULTANTS PLLC

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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician

General Provider Information

NPI Number	:	1578021937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY AND EPILEPSY CONSULTANTS PLLC

Provider Business Mailing Address
First Line	:	4441 EFFIE ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5616
Country	:	US
Telephone Number	:	713-589-9288
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	:	713-589-9288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SATISH AGADI
Credential	:	MD
Telephone Number	:	832-549-7447

Provider Enumeration Date	:	03/05/2019
Last Update Date	:	03/05/2019

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