| Ms Neurological Center, Pllc | |
|
1604 Hospital Pkwy Suite 200 Bedford TX 76022-6986 | |
| (817) 685-4485 | |
| (817) 685-4490 |
| Full Name | Ms Neurological Center, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1604 Hospital Pkwy, Bedford, Texas |
| Authorized Official Name and Position | Stephen Hurlbut (PRESIDENT) |
| Authorized Official Contact | 8176854485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Neurological Center, Pllc 1915 Parktree Dr Arlington TX 76001-5689 Ph: (817) 685-4485 | Ms Neurological Center, Pllc 1604 Hospital Pkwy Suite 200 Bedford TX 76022-6986 Ph: (817) 685-4485 |
| NPI Number | 1801107263 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Medicare PECOS PAC ID | 8123275526 |
|---|---|
| Medicare Enrollment ID | O20120820000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801107263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J7995 (Texas) | Primary |
| Provider Name | Stephen Hurlbut |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699750836 PECOS PAC ID: 3870546294 Enrollment ID: I20050225000339 |
| Provider Name | Valery N Lipenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982604427 PECOS PAC ID: 7517855778 Enrollment ID: I20080728000522 |
| Provider Name | Husam Alkhersam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336124429 PECOS PAC ID: 8224110846 Enrollment ID: I20090323000049 |
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