| Comprehensive Neurology Specialists Pllc | |
|
3017 E Renner Rd Ste 100 Richardson TX 75082-3575 | |
| (469) 902-9878 | |
| Not Available |
| Full Name | Comprehensive Neurology Specialists Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3017 E Renner Rd Ste 100, Richardson, Texas |
| Authorized Official Name and Position | Ishaq Ali (OWNER) |
| Authorized Official Contact | 4699029878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neurology Specialists Pllc 3017 E Renner Rd Ste 100 Richardson TX 75082-3575 Ph: (469) 902-9878 | Comprehensive Neurology Specialists Pllc 3017 E Renner Rd Ste 100 Richardson TX 75082-3575 Ph: (469) 902-9878 |
| NPI Number | 1639951270 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 4981052461 |
|---|---|
| Medicare Enrollment ID | O20231121003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639951270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ishaq Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326248824 PECOS PAC ID: 1254476674 Enrollment ID: I20141030002158 |
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