| Mind Neurology Clinic | |
|
2043 N Mason Rd Ste 704 Katy TX 77449-6877 | |
| (281) 402-9522 | |
| Not Available |
| Full Name | Mind Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2043 N Mason Rd Ste 704, Katy, Texas |
| Authorized Official Name and Position | Jontel D Pierce (OWNER) |
| Authorized Official Contact | 2814029522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Neurology Clinic 2043 N Mason Rd Ste 704 Katy TX 77449-6877 Ph: (281) 402-9522 | Mind Neurology Clinic 2043 N Mason Rd Ste 704 Katy TX 77449-6877 Ph: (281) 402-9522 |
| NPI Number | 1083146716 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 6204104615 |
|---|---|
| Medicare Enrollment ID | O20170607002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083146716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | Q7452 (Texas) | Primary |
| Provider Name | Jontel Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154686061 PECOS PAC ID: 0840592317 Enrollment ID: I20161028000299 |
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