Provider Demographics
NPI:1013535020
Name:PEARLAND NEUROLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:PEARLAND NEUROLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHBUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKARDAMWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-481-4236
Mailing Address - Street 1:9923 WALKER MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-1559
Mailing Address - Country:US
Mailing Address - Phone:646-944-3784
Mailing Address - Fax:
Practice Address - Street 1:11914 ASTORIA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6049
Practice Address - Country:US
Practice Address - Phone:281-481-4236
Practice Address - Fax:281-481-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty