Provider Demographics
NPI:1952452146
Name:WEST HOUSTON NEUROLOGY AND ASSOCIATES PA
Entity Type:Organization
Organization Name:WEST HOUSTON NEUROLOGY AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VENKATARAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKARANARAYANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-556-1764
Mailing Address - Street 1:22715 SIERRA LAKE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2303
Mailing Address - Country:US
Mailing Address - Phone:281-556-1764
Mailing Address - Fax:281-556-5436
Practice Address - Street 1:12000 RICHMOND AVE
Practice Address - Street 2:SUITE # 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2431
Practice Address - Country:US
Practice Address - Phone:281-556-1764
Practice Address - Fax:281-556-5436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177261801Medicaid
TX177261801Medicaid