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Individual

DR. COURTNEY MARIE PRESTON

Active
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Individual

DR. COURTNEY MARIE PRESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P7185
TX
2084N0600X
Clinical Neurophysiology Physician
P7185
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00106W
MEDICARE HARRIS COUNTY GRP PTAN
TX
01
0035TD
BCBSTX GRP PROVIDER RECORD #
TX
01
153449704
MEDICAID GRP TPI
TX
01
D6392
RR MEDICARE GRP PTAN
Enumeration date
09/12/2012
Last updated
12/30/2022
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