MEDICARE: BEECHNUT 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	K8714	TX

General Provider Information

NPI Number	:	1750380226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEECHNUT NEUROLOGY PA

Provider Business Mailing Address
First Line	:	PO BOX 1386
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-1386
Country	:	US
Telephone Number	:	713-774-0800
Fax Number	:	713-774-0811

Provider Business Practice Location Address
First Line	:	7500 BEECHNUT ST
Second Line	:	SUITE 266
City	:	HOUSTON
State	:	TX
Zip	:	77074-4335
Country	:	US
Telephone Number	:	713-774-0800
Fax Number	:	713-774-0811

Authorized Official
Title or Position	:	OWNER
Name	:	SUPRABHA BHAT
Credential	:	MD
Telephone Number	:	713-774-0800

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/26/2007

Similar Medicare Providers

1710172101 — DR. BRETT DAVID SOLOMON M.D.
Practice Location Address:

7500 BEECHNUT ST , SUITE 240
HOUSTON, TX
77074-4335

Practice Phone: 713-981-7777
Practice Fax: 713-981-7749

1013910876 — SHAHIN SHIRZADI M.D.
Practice Location Address:

7500 BEECHNUT ST , STE 135
HOUSTON, TX
77074-4335

Practice Phone: 713-777-4122
Practice Fax: 713-270-7533

1831192608 — LEONARD HERSHKOWITZ M.D.
Practice Location Address:

7500 BEECHNUT ST , STE 135
HOUSTON, TX
77074-4335

Practice Phone: 713-777-4122
Practice Fax: 713-270-7533

1972501047 — DR. SUPRABHA BHAT M.D.
Practice Location Address:

7500 BEECHNUT ST , SUITE 266
HOUSTON, TX
77074-4335

Practice Phone: 713-774-0800
Practice Fax: 713-774-0811

1578562690 — PAUL MARTIN SCOTT MD
Practice Location Address:

7500 BEECHNUT ST , SUITE 256
HOUSTON, TX
77074-4335

Practice Phone: 713-988-0121
Practice Fax:

1427059187 — MICHAEL H KLEINMAN MD
Practice Location Address:

7500 BEECHNUT ST , SUITE 240
HOUSTON, TX
77074-4335

Practice Phone: 713-981-7777
Practice Fax: 713-981-7749

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