# MEMORIAL-SPRING BRANCH NEONATOLOGY CONSULTANTS, P.A.

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

## Provider details

- **NPI number:** 1710025010
- **Authorized official:** POOVAMMA M BADUVAMANDA M.D. (PARTNER)
- **Authorized official phone:** (281) 412-2494

## Contact information

- **Practice address:** 14027 MEMORIAL DR \# 252, HOUSTON, TX 77079-6826
- **Practice address phone:** (281) 412-2494
- **Practice address fax:** (281) 412-2495
- **Mailing address:** PO BOX 975190, DALLAS, TX 75397-5190
- **Mailing address phone:** (281) 412-2494
- **Mailing address fax:** (281) 412-2495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | H5596 | TX | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/07/2011