Organization
HOUSTON NEUROLOGY CLINICAL & DIAGNOSTIC CONSULTANTS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA UMMAT M.D. (PRACTICE MANAGER)
(832) 788-5492
Entity
Organization
Contact information
Practice address
1313 LA CONCHA LN STE 130, HOUSTON, TX 77054-1809
(832) 788-5492
(832) 831-7801
Mailing address
1313 LA CONCHA LN STE 130, HOUSTON, TX 77054-1809
(832) 788-5492
(832) 831-7801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184930018
NPI
—
01
—
1831352616
NPI
—
Enumeration date
06/11/2018
Last updated
11/27/2023
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