| Neurosurgery Of Kingwood, Pllc | |
|
22999 Highway 59 N Ste 220 Kingwood TX 77339-4440 | |
| (281) 312-6457 | |
| (281) 312-5128 |
| Full Name | Neurosurgery Of Kingwood, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22999 Highway 59 N Ste 220, Kingwood, Texas |
| Authorized Official Name and Position | Matthew Robertson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7138521550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosurgery Of Kingwood, Pllc 22999 Highway 59 N Ste 220 Kingwood TX 77339-4440 Ph: (281) 312-6457 | Neurosurgery Of Kingwood, Pllc 22999 Highway 59 N Ste 220 Kingwood TX 77339-4440 Ph: (281) 312-6457 |
| NPI Number | 1164875365 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/23/2016 |
| Medicare PECOS PAC ID | 6507145927 |
|---|---|
| Medicare Enrollment ID | O20161108000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164875365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mike K Liang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942374178 PECOS PAC ID: 0345203998 Enrollment ID: I20140203000398 |
| Provider Name | Kendell J Sowards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417206772 PECOS PAC ID: 2163652686 Enrollment ID: I20170807002565 |
| Provider Name | Ibrahim Cetindag |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447471396 PECOS PAC ID: 5092853481 Enrollment ID: I20231222003240 |
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