Provider Demographics
NPI:1578395661
Name:HOUSTON NEURO & APHASIA LLC
Entity type:Organization
Organization Name:HOUSTON NEURO & APHASIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-777-1824
Mailing Address - Street 1:13306 HAVERSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3402
Mailing Address - Country:US
Mailing Address - Phone:281-777-1824
Mailing Address - Fax:
Practice Address - Street 1:13306 HAVERSHIRE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3402
Practice Address - Country:US
Practice Address - Phone:281-777-1824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty