| Dallas Neurorehab Center | |
|
1400 Preston Rd Ste 300 Plano TX 75093-3603 | |
| (469) 931-2229 | |
| (214) 614-4610 |
| Full Name | Dallas Neurorehab Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1400 Preston Rd Ste 300, Plano, Texas |
| Authorized Official Name and Position | Julian Osuji (OWNER) |
| Authorized Official Contact | 4699312229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Neurorehab Center 1400 Preston Rd Ste 300 Plano TX 75093-3603 Ph: (469) 931-2229 | Dallas Neurorehab Center 1400 Preston Rd Ste 300 Plano TX 75093-3603 Ph: (469) 931-2229 |
| NPI Number | 1922448307 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 7416174107 |
|---|---|
| Medicare Enrollment ID | O20140804000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922448307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 33993 (Texas) | Primary |
| Provider Name | Julian I Osuji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992953111 PECOS PAC ID: 0840359774 Enrollment ID: I20081107000143 |
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