Provider Demographics
NPI:1285399774
Name:WOODLANDS NEUROMUSCULAR PA
Entity type:Organization
Organization Name:WOODLANDS NEUROMUSCULAR PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BURROWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-404-3665
Mailing Address - Street 1:9191 PINECROFT DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2807
Mailing Address - Country:US
Mailing Address - Phone:281-404-3665
Mailing Address - Fax:346-299-7383
Practice Address - Street 1:9191 PINECROFT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2807
Practice Address - Country:US
Practice Address - Phone:281-404-3665
Practice Address - Fax:346-299-7383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty