45D2218629 CLIA NUMBER - NEUROLOGY PRACTICE GROUP DBA HEADACHE CENTER OF RIVER OAKS

Laboratory Demographics

CLIA Number: 45D2218629

Facility Name: NEUROLOGY PRACTICE GROUP DBA HEADACHE CENTER OF RIVER OAKS

Facility Address:
2711 FERNDALE ST
HOUSTON, TX
ZIP 77098
Get Directions

Facility Phone Number: 713 426-3337

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578021937

Taxonomy: 2084N0402X - Psychiatry & Neurology
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

CLIA Record

Field Name	Field Value
CLIA Number	45D2218629
LAB Type	Physician Office
Facility Name	NEUROLOGY PRACTICE GROUP DBA HEADACHE CENTER OF RIVER OAKS
Street	2711 FERNDALE ST
City	HOUSTON
State	TX
ZIP	77098
Phone	713 426-3337
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024