MEDICARE: NEUROLOGY ASSOCIATES OF PEARLAND, 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	2084N0400X	Neurology Physician	P7185	TX
2	2084N0600X	Clinical Neurophysiology Physician	P7185	TX

General Provider Information

NPI Number	:	1811401623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY ASSOCIATES OF PEARLAND, PLLC

Provider Business Mailing Address
First Line	:	2950 CULLEN BLVD STE 108
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3922
Country	:	US
Telephone Number	:	281-835-4159
Fax Number	:	832-243-5423

Provider Business Practice Location Address
First Line	:	2950 CULLEN BLVD STE 108
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3922
Country	:	US
Telephone Number	:	281-835-4159
Fax Number	:	832-243-5423

Authorized Official
Title or Position	:	MEMBER MANAGER/PHYSICIAN
Name	:	DR. COURTNEY MARIE PRESTON
Credential	:	MD
Telephone Number	:	281-835-4159

Provider Enumeration Date	:	12/01/2017
Last Update Date	:	12/30/2022

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