# TEXAS BRAIN CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043828817
- **Authorized official:** LANISA GUIDRY (VP REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (713) 795-1107

## Contact information

- **Practice address:** 4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
- **Practice address phone:** (713) 980-7900
- **Practice address fax:** (713) 383-4446
- **Mailing address:** 1911 BAGBY ST, HOUSTON, TX 77002-8594
- **Mailing address phone:** (713) 383-7147
- **Mailing address fax:** (713) 383-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020