| Integris Neuro Group Llc | |
|
2012 Justin Rd Ste 200-a Highland Village TX 75077-7193 | |
| (972) 998-1548 | |
| (877) 492-1768 |
| Full Name | Integris Neuro Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2012 Justin Rd Ste 200-a, Highland Village, Texas |
| Authorized Official Name and Position | Steven Estes (PRESIDENT/CEO) |
| Authorized Official Contact | 9729981548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Neuro Group Llc 2012 Justin Rd Ste 200-a Highland Village TX 75077-7193 Ph: (972) 998-1548 | Integris Neuro Group Llc 2012 Justin Rd Ste 200-a Highland Village TX 75077-7193 Ph: (972) 998-1548 |
| NPI Number | 1184247371 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Medicare PECOS PAC ID | 8921426800 |
|---|---|
| Medicare Enrollment ID | O20200909000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184247371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Dario Beltran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912100850 PECOS PAC ID: 3577466382 Enrollment ID: I20040129000558 |
| Provider Name | Rachna Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144647264 PECOS PAC ID: 1153650643 Enrollment ID: I20190909002609 |
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