Provider Demographics
NPI:1962797795
Name:NEILSBERG, JASON RYAN (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:RYAN
Last Name:NEILSBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:JASON
Other - Middle Name:RYAN
Other - Last Name:NEILS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5353 MEMORIAL DR
Mailing Address - Street 2:2024
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8266
Mailing Address - Country:US
Mailing Address - Phone:516-233-9851
Mailing Address - Fax:
Practice Address - Street 1:921 GESSNER RD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2501
Practice Address - Country:US
Practice Address - Phone:713-242-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9922207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine