| Pediatric Neurology Center Pllc | |
|
7951 Katy Fwy Ste E Houston TX 77024-1948 | |
| (617) 458-1100 | |
| Not Available |
| Full Name | Pediatric Neurology Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7951 Katy Fwy Ste E, Houston, Texas |
| Authorized Official Name and Position | Michelle E Nwosu (CEO / OWNER) |
| Authorized Official Contact | 6174581100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neurology Center Pllc 7951 Katy Fwy Ste E Houston TX 77024-1948 Ph: () - | Pediatric Neurology Center Pllc 7951 Katy Fwy Ste E Houston TX 77024-1948 Ph: (617) 458-1100 |
| NPI Number | 1578348934 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 0840644753 |
|---|---|
| Medicare Enrollment ID | O20230926004292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578348934 | NPI | - | NPPES |
| Provider Name | Michelle Erumu Nwosu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740455278 PECOS PAC ID: 1759735665 Enrollment ID: I20230926004301 |
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