Individual
DR. COURTNEY MARIE PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2950 CULLEN BLVD STE 108, PEARLAND, TX 77584-3922
(281) 835-4159
(832) 243-5423
Mailing address
10907 MEMORIAL HERMANN DR STE 400, PEARLAND, TX 77584-4114
(281) 835-4159
(832) 243-5423
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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