Provider Demographics
NPI:1407448269
Name:BALANCE & NEURO THERAPY LLC
Entity Type:Organization
Organization Name:BALANCE & NEURO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:713-223-1800
Mailing Address - Street 1:4141 SOUTHWEST FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7461
Mailing Address - Country:US
Mailing Address - Phone:713-223-1800
Mailing Address - Fax:
Practice Address - Street 1:4141 SOUTHWEST FWY STE 125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7330
Practice Address - Country:US
Practice Address - Phone:713-223-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy