Provider Demographics
NPI:1942097332
Name:BRAIN AND CLINICAL ASSESSMENT
Entity type:Organization
Organization Name:BRAIN AND CLINICAL ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ADALBERETO
Authorized Official - Last Name:MAZAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-398-9462
Mailing Address - Street 1:12143 GLADEWICK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2538
Mailing Address - Country:US
Mailing Address - Phone:713-398-9462
Mailing Address - Fax:281-809-5154
Practice Address - Street 1:12143 GLADEWICK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2538
Practice Address - Country:US
Practice Address - Phone:713-398-9462
Practice Address - Fax:281-809-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty