| Spectrum Neuro Behavioral Care Llc | |
|
17350 State Highway 249 Ste 220 Houston TX 77064-1132 | |
| (903) 499-9058 | |
| (903) 499-9059 |
| Full Name | Spectrum Neuro Behavioral Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17350 State Highway 249 Ste 220, Houston, Texas |
| Authorized Official Name and Position | Jawad Riaz (MD) |
| Authorized Official Contact | 6019551157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Neuro Behavioral Care Llc 67 Union St Ste 106 Natick MA 01760-7700 Ph: (903) 499-9058 | Spectrum Neuro Behavioral Care Llc 17350 State Highway 249 Ste 220 Houston TX 77064-1132 Ph: (903) 499-9058 |
| NPI Number | 1306580055 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/13/2022 |
| Medicare PECOS PAC ID | 8527443316 |
|---|---|
| Medicare Enrollment ID | O20220914002979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306580055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Jawad Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962425280 PECOS PAC ID: 9335185446 Enrollment ID: I20131021001316 |
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