| Memorial Neurological Association | |
|
7777 Southwest Fwy Suite 900 Houston TX 77074-1802 | |
| (713) 772-4600 | |
| (713) 772-2210 |
| Full Name | Memorial Neurological Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7777 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Patricia C Davis (ADMINISTRATOR) |
| Authorized Official Contact | 7132717181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Neurological Association 7777 Southwest Fwy Suite 900 Houston TX 77074-1802 Ph: (713) 981-9971 | Memorial Neurological Association 7777 Southwest Fwy Suite 900 Houston TX 77074-1802 Ph: (713) 772-4600 |
| NPI Number | 1992806640 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 1951356724 |
|---|---|
| Medicare Enrollment ID | O20050315000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992806640 | NPI | - | NPPES |
| 112601302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nelson A Berrios |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841243110 PECOS PAC ID: 5991758617 Enrollment ID: I20050222000990 |
| Provider Name | William H. Fleming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255384574 PECOS PAC ID: 8224227152 Enrollment ID: I20110127000667 |
| Provider Name | Herbert P Edmundson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225089105 PECOS PAC ID: 9133318066 Enrollment ID: I20110127000768 |
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