| Polaris Eeg And Diagnostics | |
|
6700 Woodlands Pkwy Ste 200 The Woodlands TX 77382-2577 | |
| (817) 946-1411 | |
| Not Available |
| Full Name | Polaris Eeg And Diagnostics |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6700 Woodlands Pkwy Ste 200, The Woodlands, Texas |
| Authorized Official Name and Position | Rob C. Howie (MANAGING MEMBER) |
| Authorized Official Contact | 8179461411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Eeg And Diagnostics 6700 Woodlands Pkwy Ste 200 The Woodlands TX 77382-2577 Ph: () - | Polaris Eeg And Diagnostics 6700 Woodlands Pkwy Ste 200 The Woodlands TX 77382-2577 Ph: (817) 946-1411 |
| NPI Number | 1881236644 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Medicare PECOS PAC ID | 0941634091 |
|---|---|
| Medicare Enrollment ID | O20191223001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881236644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | (* (Not Available)) | Primary |
| Provider Name | Doohi Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790887222 PECOS PAC ID: 6800882390 Enrollment ID: I20040708001367 |
| Provider Name | Maria Audrie Dejesus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336176387 PECOS PAC ID: 3072553486 Enrollment ID: I20130227000373 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20150204000258 |
| Provider Name | Christopher Boss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043319536 PECOS PAC ID: 5395179444 Enrollment ID: I20191223002036 |
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