Organization
THE NEUROLOGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE JACKSON (CHIEF FINANCIAL OFFICER)
(713) 795-0074
Entity
Organization
Contact information
Practice address
7505 MAIN ST, SUITE 290, HOUSTON, TX 77030-4520
(713) 795-0074
(713) 795-5203
Mailing address
7505 MAIN ST, SUITE 290, HOUSTON, TX 77030-4520
(713) 795-0074
(713) 795-5203
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N83F
BCBS
TX
05
—
084322901
—
TX
Enumeration date
07/31/2006
Last updated
05/13/2010
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