Provider Demographics
NPI:1063884369
Name:NEUROSURGICAL ASSOCIATES OF TEXAS
Entity type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-562-6237
Mailing Address - Street 1:2800 KIRBY DR STE B210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1746
Mailing Address - Country:US
Mailing Address - Phone:713-562-6237
Mailing Address - Fax:713-457-5188
Practice Address - Street 1:2800 KIRBY DR STE B210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1746
Practice Address - Country:US
Practice Address - Phone:713-562-6237
Practice Address - Fax:713-457-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125850363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty