| Integrative Neurology, P.a. | |
|
2000 S Fm 51 Suite A Decatur TX 76234-3702 | |
| (940) 626-1870 | |
| (940) 626-1871 |
| Full Name | Integrative Neurology, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2000 S Fm 51, Decatur, Texas |
| Authorized Official Name and Position | William Grimes (PRESIDENT) |
| Authorized Official Contact | 9406261870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Neurology, P.a. 2000 S Fm 51 Suite A Decatur TX 76234-3702 Ph: (940) 626-1870 | Integrative Neurology, P.a. 2000 S Fm 51 Suite A Decatur TX 76234-3702 Ph: (940) 626-1870 |
| NPI Number | 1538200704 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538200704 | NPI | - | NPPES |
| DE4924 | Other | TX | MEDICARE RR |
| PENDING | Medicaid | TX | |
| 0020NP | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | F5926 (Texas) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | F5926 (Texas) | Secondary |
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