Memorial Neurological Association | |
7777 Southwest Fwy Suite 900 Houston TX 77074-1802 | |
(713) 772-4600 | |
(713) 772-2210 |
Full Name | Memorial Neurological Association |
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Speciality | Psychiatry & Neurology |
Location | 7777 Southwest Fwy, Houston, Texas |
Authorized Official Name and Position | Patricia C Davis (ADMINISTRATOR) |
Authorized Official Contact | 7132717181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Memorial Neurological Association 7777 Southwest Fwy Suite 900 Houston TX 77074-1802 Ph: (713) 981-9971 | Memorial Neurological Association 7777 Southwest Fwy Suite 900 Houston TX 77074-1802 Ph: (713) 772-4600 |
NPI Number | 1992806640 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 02/29/2012 |
Medicare PECOS PAC ID | 1951356724 |
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Medicare Enrollment ID | O20050315000081 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992806640 | NPI | - | NPPES |
112601302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Nelson A Berrios |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1841243110 PECOS PAC ID: 5991758617 Enrollment ID: I20050222000990 |
Provider Name | William H. Fleming |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1255384574 PECOS PAC ID: 8224227152 Enrollment ID: I20110127000667 |
Provider Name | Herbert P Edmundson |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225089105 PECOS PAC ID: 9133318066 Enrollment ID: I20110127000768 |
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