| Bay Area Child Neurology | |
|
131 W Texas Ave Webster TX 77598-3203 | |
| (281) 481-0002 | |
| (281) 481-0007 |
| Full Name | Bay Area Child Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 131 W Texas Ave, Webster, Texas |
| Authorized Official Name and Position | Vasudeva Reddy Boosupalli (PRESIDENT) |
| Authorized Official Contact | 2814810002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Child Neurology 131 W Texas Ave Webster TX 77598-3203 Ph: (281) 481-0002 | Bay Area Child Neurology 131 W Texas Ave Webster TX 77598-3203 Ph: (281) 481-0002 |
| NPI Number | 1902907512 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902907512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | M3475 (Texas) | Primary |
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