Organization
SOUTHEAST TEXAS NEUROLOGY,PA
Active
Other names
MEDICAL NEUROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMEM D UDONTA M.D (ADMINISTRATOR)
(409) 983-2711
Entity
Organization
Contact information
Practice address
2300 HIGHWAY 365 STE 600, NEDERLAND, TX 77627-6258
(409) 983-2711
(409) 853-1641
Mailing address
2300 HIGHWAY 365 STE 600, NEDERLAND, TX 77627-6258
(409) 983-2711
(409) 853-1641
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130004816
MEDICARE RAILROAD
TX
Enumeration date
04/12/2007
Last updated
05/26/2020
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