Organization
PEDIATRIC NEUROSCIENCE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA RAINEY M.D. (CEO)
(713) 301-4825
Entity
Organization
Contact information
Practice address
1011 SUNSET CANYON DR S, DRIPPING SPRINGS, TX 78620-4271
(713) 301-4825
Mailing address
1011 SUNSET CANYON DR S, DRIPPING SPRINGS, TX 78620-4271
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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