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777 S Fry Rd Suite 108 Katy TX 77450-2244 | |
| (281) 398-9711 | |
| (281) 398-9641 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 777 S Fry Rd, Katy, Texas |
| Authorized Official Name and Position | Francisco Javier Rodriguez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2813989711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 79308 Houston TX 77279-9308 Ph: (281) 398-9711 | 777 S Fry Rd Suite 108 Katy TX 77450-2244 Ph: (281) 398-9711 |
| NPI Number | 1255411484 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255411484 | NPI | - | NPPES |
| 0801607 01 | Medicaid | TX | |
| 130019740 | Other | TX | RAILROAD MEDICARE |
| 4540550001 | Other | TX | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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