| United Neurology Pa | |
|
2321 Southwest Freeway Houston TX 77098-4701 | |
| (713) 533-1250 | |
| (713) 533-1480 |
| Full Name | United Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2321 Southwest Freeway, Houston, Texas |
| Authorized Official Name and Position | Beth E Del Valle (DIRECTOR) |
| Authorized Official Contact | 7135331250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Neurology Pa Po Box 540243 Houston TX 77254 Ph: (713) 533-1250 | United Neurology Pa 2321 Southwest Freeway Houston TX 77098-4701 Ph: (713) 533-1250 |
| NPI Number | 1093750887 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 6305013640 |
|---|---|
| Medicare Enrollment ID | O20120127000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093750887 | NPI | - | NPPES |
| 13542309 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | E6718 (Texas) | Primary |
| Provider Name | Mohammad Athari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831101583 PECOS PAC ID: 9234033374 Enrollment ID: I20050825000789 |
| Provider Name | Jamshid Lotfi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447447545 PECOS PAC ID: 0345389565 Enrollment ID: I20091201000715 |
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