Provider Demographics
NPI:1598703571
Name:PARS NEUROLOGICAL PLLC
Entity Type:Organization
Organization Name:PARS NEUROLOGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:STAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-270-7077
Mailing Address - Street 1:4241 VETERANS MEMORIAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-5430
Mailing Address - Country:US
Mailing Address - Phone:888-273-3445
Mailing Address - Fax:504-883-5384
Practice Address - Street 1:1010 W BAKER RD STE 101
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2383
Practice Address - Country:US
Practice Address - Phone:888-273-3445
Practice Address - Fax:504-883-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4456174400000X
TXJ1682174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ1682OtherDR V HARRIS LIC
TX130015562OtherMEDICARE RAILROAD
TX093805201Medicaid
TXH4453OtherDR KAHKESHANI LIC
TX093805201Medicaid
TXH4453OtherDR KAHKESHANI LIC
TXB23817Medicare UPIN
TX130015562OtherMEDICARE RAILROAD