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NPI Code Detail

MEDICARE: NEURODEVELOPMENTAL THERAPY SERVICES

MEDICARE: NEURODEVELOPMENTAL THERAPY SERVICES
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
1302R00000XHealth Maintenance OrganizationTX

General Provider Information

NPI Number : 1609959741
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURODEVELOPMENTAL THERAPY SERVICES
Provider Business Mailing Address
First Line : 4423 SHADOWDALE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8718
Country : US
Telephone Number : 713-466-6872
Fax Number : 713-466-9547
Provider Business Practice Location Address
First Line : 4423 SHADOWDALE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8718
Country : US
Telephone Number : 713-466-6872
Fax Number : 713-466-9547
Authorized Official
Title or Position : OWNER
Name : NUNEZ-PARKER CAROL
Credential :
Telephone Number : 713-466-6872
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/21/2022

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Directions to “NEURODEVELOPMENTAL THERAPY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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