Individual
JONATHAN PARKS FILLAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MAGNOLIA ESTATES DR, LEAGUE CITY, TX 77573-4613
(888) 606-0086
Mailing address
112 MAGNOLIA ESTATES DR, LEAGUE CITY, TX 77573-4719
(888) 606-0086
(346) 223-0296
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
40228
TX
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
40228
TX
Other
Enumeration date
06/06/2017
Last updated
05/06/2026
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