Provider Demographics
NPI:1366701773
Name:THE WOODLANDS-HOUSTON NEURO PSYCHIATRIC CLINIC, P.A.
Entity type:Organization
Organization Name:THE WOODLANDS-HOUSTON NEURO PSYCHIATRIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:RAMIREZ
Authorized Official - Last Name:BOSQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-364-9884
Mailing Address - Street 1:PO BOX 130364
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0364
Mailing Address - Country:US
Mailing Address - Phone:281-364-9884
Mailing Address - Fax:281-364-7747
Practice Address - Street 1:9006 FOREST XING STE C
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1155
Practice Address - Country:US
Practice Address - Phone:281-364-9884
Practice Address - Fax:281-364-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2379207RC0000X
TNK24222084P0804X
TXK24222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty