NORTH TEXAS BRAIN AND WELLNESS INC. NPI 1952958274

NPI Information

NPI: 1952958274
Provider Name: NORTH TEXAS BRAIN AND WELLNESS, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
241 W. SOUTHLAKE BLVD., SUITE 140
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 580-7678
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NORTH TEXAS BRAIN AND WELLNESS, INC. is a multi-specialty clinic center in Southlake, TX. NORTH TEXAS BRAIN AND WELLNESS, INC. NPI is 1952958274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 W. SOUTHLAKE BLVD., SUITE 140
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 580-7678
Fax: (817) 580-7891

The provider's authorized official is Laura Ashley-escoto .
The authorized official title is President and has the following contact phone number (817) 580-7678.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 7/12/2021.

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	Primary
1	103T00000X	Psychologist		No
2	111N00000X	Chiropractor		No
3	2084N0400X	Psychiatry & Neurology	Neurology	No
4	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	No
5	225700000X	Massage Therapist		No
6	261QM1300X	Clinic/Center	Multi-Specialty	Yes
7	363L00000X	Nurse Practitioner		No
8	2084N0008X	Psychiatry & Neurology	Neuromuscular Medicine	No
9	2084P0301X	Psychiatry & Neurology	Brain Injury Medicine	No

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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