Provider Demographics
NPI:1306583521
Name:NEURODOCTORS, PLLC
Entity type:Organization
Organization Name:NEURODOCTORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CERDAN-TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-452-1882
Mailing Address - Street 1:4770 N EXPRESSWAY 77/83 STE 204
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3107
Mailing Address - Country:US
Mailing Address - Phone:956-452-1882
Mailing Address - Fax:956-435-9133
Practice Address - Street 1:4770 N EXPRESSWAY 77/83 STE 204
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3107
Practice Address - Country:US
Practice Address - Phone:956-452-1882
Practice Address - Fax:956-435-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty