Organization
BROADSTONE NEUROLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MANTOR (MANAGER)
(561) 254-8836
Entity
Organization
Contact information
Practice address
3050 POST OAK BLVD STE 510, HOUSTON, TX 77056-6512
(281) 674-3092
Mailing address
3050 POST OAK BLVD STE 510, HOUSTON, TX 77056-6512
(281) 674-3092
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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