HOUSTON AREA PEDIATRIC NEUROLOGY PLLC - NPI NUMBER 1093056608

Summary

Provider Name: HOUSTON AREA PEDIATRIC NEUROLOGY PLLC

NPI Number: 1093056608

Clasification: Pediatrics (2080P0008X)

Specialization: Neurodevelopmental Disabilities

Address:
17510 W GRAND PKWY S
SUITE 440
SUGAR LAND, TX
ZIP 77479

Phone Number: (832) 471-6248



Detailed Information

HOUSTON AREA PEDIATRIC NEUROLOGY PLLC is a neurodevelopmental disabilities pediatrician in Sugar Land, TX. The provider is a pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. The assigned NPI number for this provider is 1093056608 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

17510 W GRAND PKWY S
SUITE 440
SUGAR LAND, TX
ZIP 77479-645
Phone: (832) 471-6248
Fax: (832) 471-6984

The provider's authorized official is Melissa Jones .
The authorized official title is President and has the following contact phone number (832) 471-6248.

The enumeration date for this NPI number is 3/6/2013 and was last updated on 3/6/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2080P0008X Pediatrics Neurodevelopmental Disabilities No
2 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology Yes

NPI Record

No. Field Name Field Value
1 NPI 1093056608
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name HOUSTON AREA PEDIATRIC NEUROLOGY PLLC
5 Provider First Line Business Practice Location Address 17510 W GRAND PKWY S
6 Provider Second Line Business Practice Location Address SUITE 440
7 Provider Business Practice Location Address City Name SUGAR LAND
8 Provider Business Practice Location Address State Name TX
9 Provider Business Practice Location Address Postal Code 774792645
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 8324716248
12 Provider Business Practice Location Address Fax Number 8324716984
13 Provider Enumeration Date 3/6/2013
14 Last Update Date 3/6/2013
15 Authorized Official Last Name JONES
16 Authorized Official First Name MELISSA
17 Authorized Official Title or Position PRESIDENT
18 Authorized Official Telephone Number 8324716248
19 Healthcare Provider Taxonomy Code 1 2080P0008X
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 2084N0402X
22 Healthcare Provider Primary Taxonomy Switch 2 Y
23 Is Organization Subpart N
24 Authorized Official Credential Text MD
25 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
26 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.