Provider Demographics
NPI:1316212665
Name:NEUROLOGICAL & ORTHOPEDIC ASSOCIATES OF TEXAS, LLC
Entity Type:Organization
Organization Name:NEUROLOGICAL & ORTHOPEDIC ASSOCIATES OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C, GNP-C. RNFA
Authorized Official - Prefix:MS
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEYREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C, RNFA
Authorized Official - Phone:281-216-0977
Mailing Address - Street 1:PO BOX 130664
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0664
Mailing Address - Country:US
Mailing Address - Phone:281-216-0977
Mailing Address - Fax:
Practice Address - Street 1:7 BRANDENBERRY CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-5110
Practice Address - Country:US
Practice Address - Phone:281-216-0977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX727437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty