1356392914 NPI number — BARBARA P UZZELL PHD

Table of content: BARBARA P UZZELL PHD (NPI 1356392914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356392914 NPI number — BARBARA P UZZELL PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UZZELL
Provider First Name:
BARBARA
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356392914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NEUROPSYCHOLOGY & NEUROREHAB
Provider Second Line Business Mailing Address:
P.0. BOX 841616
Provider Business Mailing Address City Name:
PEARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20403 UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-4976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-265-1776
Provider Business Practice Location Address Fax Number:
281-285-1805
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103G00000X , with the licence number:  2-0873 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10017080 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4413144 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 94043 . This is a "TEXAN PLUS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 99523502 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: UZ081264P . This is a "BCBS OUT OF STATE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 81264P . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 860000056 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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