Organization
PEDIATRIC NEUROLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE E NWOSU MD (CEO / OWNER)
(617) 458-1100
Entity
Organization
Contact information
Practice address
7951 KATY FWY STE E, HOUSTON, TX 77024-1948
(617) 458-1100
Mailing address
7951 KATY FWY STE E, HOUSTON, TX 77024-1948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084E0001X
Epilepsy Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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