Provider Demographics
NPI:1174887905
Name:NEUDORF INFECTIOUS DISEASES CLINIC
Entity type:Organization
Organization Name:NEUDORF INFECTIOUS DISEASES CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-539-0090
Mailing Address - Street 1:800 RIVERWOOD CT STE 102
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2824
Mailing Address - Country:US
Mailing Address - Phone:936-539-0090
Mailing Address - Fax:936-788-2224
Practice Address - Street 1:800 RIVERWOOD CT STE 102
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2824
Practice Address - Country:US
Practice Address - Phone:936-539-0090
Practice Address - Fax:936-788-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1789207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty