Texas Neurosciences PLLC

Organization Active NPI Neurological Surgery Physician · Lake Jackson, TX

NPI 1376379263 · NPPES record last updated Sep 9, 2024

Key facts

NPI
1376379263
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
TEXAS NEUROSCIENCES PLLC
Practice address
215 Oak Dr S Ste I
Lake Jackson, TX 77566-5618
Phone
(832) 755-8726
NPI assigned
Sep 9, 2024
Organization subpart
No

Authorized official

Name
Aaron Mohanty, MD
Title
Physician
Phone
(832) 755-8726

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20241024001596 TX Part B Supplier - Clinic/Group Practice 6901339365 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Jackson, TX

National Provider Directory

Locations

215 Oak Dr S
Ste 1
Lake Jackson, TX 77566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207T00000X Yes

Addresses

Primary practice location

215 Oak Dr S Ste I
Lake Jackson, TX 77566-5618

Mailing address

PO Box 1137
Bellaire, TX 77402-1137

Other providers in Lake Jackson, TX

All providers in Lake Jackson, TX · Neurological Surgery Physician in Texas

Sources for this page

Verify at the official NPI Registry.