Developmental Neurology Associates Pllc | |
2306 N Alexander Dr Baytown TX 77520-3455 | |
(281) 837-3159 | |
(281) 837-3159 |
Full Name | Developmental Neurology Associates Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2306 N Alexander Dr, Baytown, Texas |
Authorized Official Name and Position | Ram Kairam (PRESIDENT) |
Authorized Official Contact | 6467156584 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Developmental Neurology Associates Pllc 2306 N Alexander Dr Baytown TX 77520-3455 Ph: (281) 837-3159 | Developmental Neurology Associates Pllc 2306 N Alexander Dr Baytown TX 77520-3455 Ph: (281) 837-3159 |
NPI Number | 1164173423 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 02/01/2022 |
Certification Date | 02/01/2022 |
Medicare PECOS PAC ID | 3274927223 |
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Medicare Enrollment ID | O20220308002008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164173423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Provider Name | Ram Kairam |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1205907649 PECOS PAC ID: 9638168297 Enrollment ID: I20200901000363 |
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