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NEUROHELATH CENTER PLLC NPI 1447478169


NPI Information

NPI: 1447478169
Provider Name: NEUROHELATH CENTER PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
713 N 4TH ST
SUITE #2
LONGVIEW, TX
ZIP 75601
Phone: (903) 757-7056
Get Directions

NEUROHELATH CENTER PLLC is a neurology psychiatry neurology in Longview, 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. NEUROHELATH CENTER PLLC NPI is 1447478169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

713 N 4TH ST
SUITE #2
LONGVIEW, TX
ZIP 75601-412
Phone: (903) 757-7056
Fax: (903) 757-7260

The provider's authorized official is Uma Pulipaka .
The authorized official title is President and has the following contact phone number (903) 757-7056.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 11/8/2011.


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 & NeurologyNeurologyL4660TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100853TMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2152867101MEDICAIDTEXAS

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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