Provider Demographics
NPI:1952841595
Name:NEUROSURGICAL CARE
Entity Type:Organization
Organization Name:NEUROSURGICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMEN
Authorized Official - Prefix:
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-623-1788
Mailing Address - Street 1:8000 LONG POINT RD STE 55026
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2013
Mailing Address - Country:US
Mailing Address - Phone:713-623-1788
Mailing Address - Fax:855-816-9662
Practice Address - Street 1:450 W MEDICAL CENTER BLVD STE 520
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4229
Practice Address - Country:US
Practice Address - Phone:713-623-1788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3703207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty