Provider Demographics
NPI:1215574256
Name:FAMILY NEUROLOGY AND NEURODEVELOPMENTAL CENTER PLLC
Entity Type:Organization
Organization Name:FAMILY NEUROLOGY AND NEURODEVELOPMENTAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-942-8001
Mailing Address - Street 1:3618 EMERALD FALLS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3738
Mailing Address - Country:US
Mailing Address - Phone:281-942-8001
Mailing Address - Fax:
Practice Address - Street 1:3301 PLAINVIEW ST STE 8
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1929
Practice Address - Country:US
Practice Address - Phone:281-942-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty