| Affinity Neurocare | |
|
4323 N Josey Ln Ste 301 Carrollton TX 75010-4630 | |
| (214) 407-8580 | |
| (214) 407-8581 |
| Full Name | Affinity Neurocare |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4323 N Josey Ln Ste 301, Carrollton, Texas |
| Authorized Official Name and Position | Nnamdi Chima Dike (CEO) |
| Authorized Official Contact | 2144078580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Neurocare 4323 N Josey Ln Ste 301 Carrollton TX 75010-4630 Ph: (214) 407-8580 | Affinity Neurocare 4323 N Josey Ln Ste 301 Carrollton TX 75010-4630 Ph: (214) 407-8580 |
| NPI Number | 1861997264 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 9032473715 |
|---|---|
| Medicare Enrollment ID | O20180504000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861997264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | Q5176 (Texas) | Primary |
| Provider Name | Nnamdi C Dike |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306156401 PECOS PAC ID: 0042528598 Enrollment ID: I20151001002615 |
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