| Neuro Source Llc | |
|
16131 N Eldridge Pkwy Ste 200 Tomball TX 77377-9130 | |
| (281) 970-5900 | |
| (281) 970-5914 |
| Full Name | Neuro Source Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16131 N Eldridge Pkwy Ste 200, Tomball, Texas |
| Authorized Official Name and Position | Shelia Jumper (ACCOUNT MANAGER) |
| Authorized Official Contact | 2819705900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Source Llc 16131 N Eldridge Pkwy Ste 200 Tomball TX 77377-9130 Ph: (281) 970-5900 | Neuro Source Llc 16131 N Eldridge Pkwy Ste 200 Tomball TX 77377-9130 Ph: (281) 970-5900 |
| NPI Number | 1316589070 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316589070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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