Provider Demographics
NPI:1255117198
Name:INTERFACE NEUROLOGY SERVICES, PLLC
Entity type:Organization
Organization Name:INTERFACE NEUROLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-306-3838
Mailing Address - Street 1:5511 BRISCOE BEND LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1545
Mailing Address - Country:US
Mailing Address - Phone:281-306-3838
Mailing Address - Fax:
Practice Address - Street 1:5511 BRISCOE BEND LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1545
Practice Address - Country:US
Practice Address - Phone:281-306-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty