| Integrated Neurology And Neurophysiology Of North Texas | |
|
521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 | |
| (817) 328-3000 | |
| (827) 328-3333 |
| Full Name | Integrated Neurology And Neurophysiology Of North Texas |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 521 W Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Joseph K Vaughan (NEUROLOGIST) |
| Authorized Official Contact | 9725206535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Neurology And Neurophysiology Of North Texas 120 E Fm 544 Ste 72 Murphy TX 75094-4035 Ph: (972) 422-0140 | Integrated Neurology And Neurophysiology Of North Texas 521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 Ph: (817) 328-3000 |
| NPI Number | 1720609811 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720609811 | NPI | - | NPPES |
| 1700873627 | Other | TX | MR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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