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GREENVILLE NEUROLOGY ASSOC MD PA NPI 1649468059


NPI Information

NPI: 1649468059
Provider Name: GREENVILLE NEUROLOGY ASSOC, MD PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 45D2130639

Address:
5550 WARREN PKWY STE 100
FRISCO, TX
ZIP 75034
Phone: (214) 618-0808
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GREENVILLE NEUROLOGY ASSOC, MD PA is a neurology psychiatry neurology in Frisco, 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. GREENVILLE NEUROLOGY ASSOC, MD PA NPI is 1649468059. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5550 WARREN PKWY STE 100
FRISCO, TX
ZIP 75034-399
Phone: (214) 618-0808
Fax: (469) 200-8097

The provider's authorized official is Shamim Ata .
The authorized official title is Office Manager and has the following contact phone number (214) 618-0808.

The CLIA number assigned to this NPI record is 45D2130639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 9/28/2021.


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 & NeurologyNeurologyK7981TEXASYes

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
11767444MEDICAIDTEXAS

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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