CLINICAL NEUROSCIENCE PA (NPI# 1760459671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760459671 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROSCIENCE PA |
| Practice Address |
1441 N Beckley Ave Fl 5 Dallas TX 75203-1201 |
| Practice Telephone | 2149471837 |
| Practice Fax Number | 2149471851 |
| Mailing Telephone | 2149439300 |
| Mailing Fax Number | 2149434220 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | MS. TERESA R HERNANDEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 2149434599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112880301 | 05 | |
| TX | 112880305 | 05 |
| Street Address |
1441 N BECKLEY AVE FL 5 |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800580 | Lawrence Mai Hoang | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave Fl 5, Dallas, TX 75203-1201 | 2020-04-22 |
| 1972123032 | Asad Khan Niazi | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave Fl 5, Dallas, TX 75203-1201 | 2020-04-19 |
| 1871112995 | Catherine Kinchen | Surgery | 1441 N Beckley Ave Fl 5, Dallas, TX 75203-1201 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147544 | Irina Mikhaylovna Podkorytova | Psychiatry & Neurology | 5323 Harry Hines Blvd # E1.202, Dallas, TX 75390-7208 | 2018-03-14 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1891180311 | Mazen T Elkurd | Psychiatry & Neurology | 5323 Harry Hines Blvd # J3.134, Dallas, TX 75390 | 2015-04-01 |
| 1053704692 | Applied Neurophysiology, Pllc | Psychiatry & Neurology | 4025 Stanford Ave, Dallas, TX 75225-7006 | 2015-03-06 |
| 1427459064 | Rch Medical, Pllc | Psychiatry & Neurology | 3816 Stanford Ave, Dallas, TX 75225-7108 | 2014-09-15 |
| 1841627767 | Neurological Associates of North Texas Pllc | Psychiatry & Neurology | 9330 Poppy Dr Ste 500b, Dallas, TX 75218-4621 | 2013-10-09 |
| 1336486828 | Frisco Neurosurgical Products Pllc | Psychiatry & Neurology | 2633 Mckinney Avenue, Suite 130 #341, Dallas, TX 75204 | 2013-01-03 |
| 1992041438 | Chiflauda Monitoring, Pllc | Psychiatry & Neurology | 4848 Lemmon Avenue, Suite 100 #318, Dallas, TX 75219 | 2013-01-02 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1518226521 | Southwest Electrodiagnostic Center LLC | Psychiatry & Neurology | 16135 Preston Rd Ste 135, Box 21, Dallas, TX 75248-3590 | 2012-05-10 |
| Find all providers in DALLAS | ||||
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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.