| Neurology Of Sugar Land | |
|
15200 Southwest Fwy Suite 395 Sugar Land TX 77478-3845 | |
| (281) 937-7653 | |
| (281) 937-7062 |
| Full Name | Neurology Of Sugar Land |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15200 Southwest Fwy, Sugar Land, Texas |
| Authorized Official Name and Position | Irena Pankiewicz (MD/OWNER) |
| Authorized Official Contact | 2819377653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Of Sugar Land 15200 Southwest Fwy Suite 395 Sugar Land TX 77478-3845 Ph: (281) 937-7653 | Neurology Of Sugar Land 15200 Southwest Fwy Suite 395 Sugar Land TX 77478-3845 Ph: (281) 937-7653 |
| NPI Number | 1902237324 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 05/24/2014 |
| Medicare PECOS PAC ID | 2567685787 |
|---|---|
| Medicare Enrollment ID | O20140515001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902237324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | K1607 (Texas) | Primary |
| Provider Name | Irena Pankiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689638090 PECOS PAC ID: 0749313500 Enrollment ID: I20100729000912 |
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