| Gulf Coast Neuropsychology, Pllc | |
|
1110 Nasa Pkwy Ste 108c Houston TX 77058-3351 | |
| (409) 789-1339 | |
| (713) 481-6304 |
| Full Name | Gulf Coast Neuropsychology, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1110 Nasa Pkwy Ste 108c, Houston, Texas |
| Authorized Official Name and Position | Dennis Joseph Zgaljardic (OWNER, DIRECTOR, NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4097891339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Neuropsychology, Pllc 1110 Nasa Pkwy Ste 108c Houston TX 77058-3351 Ph: (409) 789-1339 | Gulf Coast Neuropsychology, Pllc 1110 Nasa Pkwy Ste 108c Houston TX 77058-3351 Ph: (409) 789-1339 |
| NPI Number | 1710511753 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Medicare PECOS PAC ID | 6002245610 |
|---|---|
| Medicare Enrollment ID | O20200402002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710511753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Dennis J Zgaljardic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255599627 PECOS PAC ID: 0446324719 Enrollment ID: I20080805000109 |
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