| Neurocare Of The South, Pllc | |
|
2965 Harrison St Ste 217 Beaumont TX 77702-1149 | |
| (985) 805-2555 | |
| (985) 400-5303 |
| Full Name | Neurocare Of The South, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2965 Harrison St Ste 217, Beaumont, Texas |
| Authorized Official Name and Position | Ramy El Khoury (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9858052555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Of The South, Pllc 648 Crestwood Blvd Covington LA 70433-8261 Ph: (985) 805-2555 | Neurocare Of The South, Pllc 2965 Harrison St Ste 217 Beaumont TX 77702-1149 Ph: (985) 805-2555 |
| NPI Number | 1588312615 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Medicare PECOS PAC ID | 8426439043 |
|---|---|
| Medicare Enrollment ID | O20220713003894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588312615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nabil J Azar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972644391 PECOS PAC ID: 8325131675 Enrollment ID: I20181119000173 |
| Provider Name | Ramy El Khoury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124380647 PECOS PAC ID: 5698911774 Enrollment ID: I20220713003930 |
| Provider Name | Rashonee Lavergne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521915 PECOS PAC ID: 0648693101 Enrollment ID: I20230810000344 |
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