1932465630 NPI number — MEMORIAL BRAIN AND BEHAVIOR CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932465630 NPI number — MEMORIAL BRAIN AND BEHAVIOR CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEMORIAL BRAIN AND BEHAVIOR CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1932465630
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
915 GESSNER RD
Provider Second Line Business Mailing Address:
SUITE 550
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-2527
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-461-6262
Provider Business Mailing Address Fax Number:
713-461-5111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 GESSNER RD
Provider Second Line Business Practice Location Address:
SUITE 550
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024-2527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-461-6262
Provider Business Practice Location Address Fax Number:
713-461-5111
Provider Enumeration Date:
04/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MAZAS
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
ADALBERTO
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
713-461-6262

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  35053 , 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)





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