Total Neurology Of The Gulf Coast, Pa | |
201 Oak Dr S Suite 201 Lake Jackson TX 77566-5676 | |
(979) 480-0990 | |
(979) 480-0980 |
Full Name | Total Neurology Of The Gulf Coast, Pa |
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Speciality | Psychiatry & Neurology |
Location | 201 Oak Dr S, Lake Jackson, Texas |
Authorized Official Name and Position | Lyndon F. Barnwell (OWNER) |
Authorized Official Contact | 9794800990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Neurology Of The Gulf Coast, Pa 201 Oak Dr S Suite 201 Lake Jackson TX 77566-5676 Ph: (979) 480-0990 | Total Neurology Of The Gulf Coast, Pa 201 Oak Dr S Suite 201 Lake Jackson TX 77566-5676 Ph: (979) 480-0990 |
NPI Number | 1508007741 |
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Provider Enumeration Date | 03/18/2009 |
Last Update Date | 02/16/2017 |
Medicare PECOS PAC ID | 2769530294 |
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Medicare Enrollment ID | O20090511000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508007741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | K7655 (Texas) | Secondary |
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | K7655 (Texas) | Primary |
Provider Name | Lyndon F Barnwell |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1205827516 PECOS PAC ID: 5698742195 Enrollment ID: I20040914000847 |
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