| Omega Neurology , Pa | |
|
250 Blossom St Ste 230 Webster TX 77598-4241 | |
| (281) 333-4705 | |
| (281) 554-6268 |
| Full Name | Omega Neurology , Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 250 Blossom St Ste 230, Webster, Texas |
| Authorized Official Name and Position | Hassan Ali Javanshir (PRESIDENT) |
| Authorized Official Contact | 2813334705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Neurology , Pa Po Box 19803 Houston TX 77224-9803 Ph: (281) 333-4705 | Omega Neurology , Pa 250 Blossom St Ste 230 Webster TX 77598-4241 Ph: (281) 333-4705 |
| NPI Number | 1306936364 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 01/03/2008 |
| Medicare PECOS PAC ID | 5799887626 |
|---|---|
| Medicare Enrollment ID | O20070223000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306936364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hassan Ali Javanshir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225073794 PECOS PAC ID: 7810992773 Enrollment ID: I20061113000026 |
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