NORTH DALLAS NEUROLOGY, PLLC (NPI# 1073924502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073924502 |
| Entity Type | Organization |
| Organization Name | NORTH DALLAS NEUROLOGY, PLLC |
| Practice Address |
4112 W 15th St 100b Plano TX 75093-5862 |
| Mailing Address |
6200 Blain Dr Plano TX 75024-3097 |
| Practice Telephone | 9722001272 |
| Practice Fax Number | 9728909159 |
| Mailing Telephone | 9722001272 |
| Mailing Fax Number | 9728909159 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | SAADAT ALI KHAN (OWNER/PROVIDER) |
| Authorized Official Telephone | 9726326031 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
M3611 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4112 W 15TH ST 100B |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174597868 | Childrens Eye Care of North Texas Pa | Ophthalmology | 4112 W 15th St, Ste 201, Plano, TX 75093 | 2006-02-17 |
| 1477613966 | Molly Droge | Pediatrics | 4112 W 15th St, Suite 100, Plano, TX 75093-5819 | 2006-12-12 |
| 1902966419 | Lori Seibert | Pediatrics | 4112 W 15th St, Suite 100, Plano, TX 75093-5819 | 2006-12-12 |
| 1437219953 | North Dallas Pediatric Associates | Pediatrics | 4112 W 15th St, Suite 100, Plano, TX 75093-5819 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689953093 | Child Neurology Clinics of Texas | Psychiatry & Neurology | 4032 Mcdermott Dr Ste 100, Plano, TX 75024 | 2011-08-16 |
| 1114217593 | Andrew Wayne Hurd | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2011-04-19 |
| 1235294695 | Gerald Mendoza So | Psychiatry & Neurology | 4032 Mcdermott Rd, Ste. 100, Plano, TX 75024-7733 | 2006-12-26 |
| 1043371784 | Saadat Ali Khan | Psychiatry & Neurology | 4001 W 15th St Ste 375, Plano, TX 75093-5864 | 2006-12-13 |
| 1821014051 | Janice Elaine Brunstrom-hernandez | Psychiatry & Neurology | 7709 San Jacinto Place, Suite 203, Plano, TX 75024-3215 | 2006-07-14 |
| 1629633490 | Tcn Pediatric Neurology Pllc | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2019-05-07 |
| 1003369224 | Tcn Pediatric Neurology, Pllc | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2016-07-25 |
| 1497149595 | Kendra Lee Williams Beneski | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2015-03-26 |
| 1134520182 | 1 Cp Place Pllc | Psychiatry & Neurology | 7709 San Jacinto Pl, Suite 203, Plano, TX 75024-3215 | 2014-09-09 |
| 1144647264 | Rachna Patel | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024 | 2014-03-26 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.