NEUROLOGIC PROTECTION SERVICES, PLLC


Address: 6125 Luther Ln #189, Dallas, TX 75225-6202
Phone: 2146126518

NEUROLOGIC PROTECTION SERVICES, PLLC (NPI# 1699271312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699271312
Entity Type Organization
Organization Name NEUROLOGIC PROTECTION SERVICES, PLLC
Practice Address 6125 Luther Ln #189
Dallas
TX 75225-6202
Practice Telephone 2146126518
Mailing Telephone 2146126518
Enumeration Date 2018-04-02
Last Update Date 2018-09-24
Authorized Official Name LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
Authorized Official Telephone 2105982801
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204R00000X Electrodiagnostic Medicine Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 6125 LUTHER LN #189
City DALLAS
State TX
Zip Code 75225-6202

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1427332154 Richard Ralph North Psychiatry & Neurology 15350 Prestonwood Blvd, Apt 251, Dallas, TX 75248 2011-09-29
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City DALLAS
Zip Code 75225

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Dataset Information

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.

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