| Family Neurology And Neurodevelopmental Center Pllc | |
|
3301 Plainview St Ste 8 Pasadena TX 77504-1929 | |
| (281) 942-8001 | |
| Not Available |
| Full Name | Family Neurology And Neurodevelopmental Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3301 Plainview St Ste 8, Pasadena, Texas |
| Authorized Official Name and Position | Lisa Wright (OWNER) |
| Authorized Official Contact | 2819428001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Neurology And Neurodevelopmental Center Pllc 3618 Emerald Falls Dr Houston TX 77059-3738 Ph: (281) 942-8001 | Family Neurology And Neurodevelopmental Center Pllc 3301 Plainview St Ste 8 Pasadena TX 77504-1929 Ph: (281) 942-8001 |
| NPI Number | 1215574256 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Medicare PECOS PAC ID | 1153757448 |
|---|---|
| Medicare Enrollment ID | O20200205000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215574256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Lisa Nassif Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780858167 PECOS PAC ID: 9638242753 Enrollment ID: I20080723000558 |
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