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NEURODIAGNOSTIC CENTER PA NPI 1164087748


NPI Information

NPI: 1164087748
Provider Name: NEURODIAGNOSTIC CENTER PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
107 MEDICAL PARK DR
LUFKIN, TX
ZIP 75904
Phone: (936) 634-6333
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NEURODIAGNOSTIC CENTER PA is a neurology psychiatry neurology in Lufkin, 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. NEURODIAGNOSTIC CENTER PA NPI is 1164087748. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

107 MEDICAL PARK DR
LUFKIN, TX
ZIP 75904-135
Phone: (936) 634-6333
Fax: (936) 634-6337

The provider's authorized official is Sunil Cherry .
The authorized official title is Owner/president and has the following contact phone number (936) 634-6333.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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

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