Provider Demographics
NPI:1831971829
Name:HOPE HEADACHE AND NEUROLOGY LLC
Entity type:Organization
Organization Name:HOPE HEADACHE AND NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:636-425-4673
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63302-0489
Mailing Address - Country:US
Mailing Address - Phone:636-425-4673
Mailing Address - Fax:636-898-8198
Practice Address - Street 1:3862 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63303-3041
Practice Address - Country:US
Practice Address - Phone:636-425-4673
Practice Address - Fax:636-898-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty