Individual provider · NPI-1

Dr. Victor Jonathan Alonso III, Ph.D.

Technician, Other, EEG · Houston, TX

NPI number1134424849

StatusActive

Last updated in NPPESDec 12, 2013

Details

NPI: 1134424849
Entity type: Individual (NPI-1)
Name: Dr. Victor Jonathan Alonso III
Credential: Ph.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jan 12, 2011
Last updated: Dec 12, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2472E0500X	Technician, Other, EEG	–	–	Yes
246ZE0500X	Specialist/Technologist, Other, EEG	–	–
101YP1600X	Counselor, Pastoral	–	–
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

450 N Sam Houston Pkwy E
Suite 156
Houston, TX 77060-3551

Phone 713-261-2950

Mailing address

450 North Sam Houston Parkway
Suite156
Houston, TX 77090-2910

Phone 713-261-2950

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