NEUROCARE CENTRE OF NORTH TEXAS PLLC NPI 1104344688

NPI Information

NPI: 1104344688
Provider Name: NEUROCARE CENTRE OF NORTH TEXAS, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
731 E SOUTHLAKE BLVD STE 170
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 488-0100
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NEUROCARE CENTRE OF NORTH TEXAS, PLLC is a neurology psychiatry neurology in Southlake, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROCARE CENTRE OF NORTH TEXAS, PLLC NPI is 1104344688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

731 E SOUTHLAKE BLVD STE 170
SOUTHLAKE, TX
ZIP 76092-382
Phone: (817) 488-0100
Fax: (888) 217-2697

The provider's authorized official is Simon Tan .
The authorized official title is Owner and has the following contact phone number (972) 877-9152.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0008X	Psychiatry & Neurology	Neuromuscular Medicine	L2023	TEXAS	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	L2023	TEXAS	No
3	2084P0301X	Psychiatry & Neurology	Brain Injury Medicine	L2023	TEXAS	No
4	2084N0400X	Psychiatry & Neurology	Neurology	L2023	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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